Neurology:金线针刺治疗面肌痉挛

2018-08-16 zyx整理 神经科病例撷英拾粹

73岁女性,大约24年前开始出现右侧面肌痉挛。在第一次起病后,患者便接受了金线针刺(主要见于韩国的一种用于疼痛的治疗手段,用针将小片无菌金线插入体内——译者注)和微血管减压术。

73岁女性,大约24年前开始出现右侧面肌痉挛。在第一次起病后,患者便接受了金线针刺(主要见于韩国的一种用于疼痛的治疗手段,用针将小片无菌金线插入体内——译者注)和微血管减压术。本次应症状复发再来我科。头颅MRI证实右侧小脑后下动脉压迫第7和第8颅神经根出口区(图1)。此外,T1WI矢状位可见多个点状低信号,边界清楚,局限于24年前进行金线针刺的右侧面部区域(图2)。


(图1:右侧第7和第8颅神经根出口区被右侧小脑后下动脉压迫[红箭])


(图2:T1WI矢状位[A]和FLAIR[B]提示金线针刺;可见多个点状低信号[黄色箭头],边界清楚,局限于24年前进行金线针刺的右侧面部区域)

原始出处:Kwon S1, Kim G2. Gold thread acupuncture for hemifacial spasm. Neurology. 2018 Jul 24;91(4):185-186.

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    2019-03-14 yinhl1978
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    2018-08-18 1771ae4158m

    借鉴大家经验很棒

    0

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    2018-08-18 1771ae4158m

    跟大家学习很好

    0

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    2018-08-18 1771ae4158m

    学习一下很不错

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=2055335, encodeId=0e9e2055335dc, content=<a href='/topic/show?id=889b99813d9' target=_blank style='color:#2F92EE;'>#面肌痉挛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99813, encryptionId=889b99813d9, topicName=面肌痉挛)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdqq.qlogo.cn/qqapp/1103841572/D2FD7704B41C9E22364B1E54ABB223BB/100, createdBy=1df22500220, createdName=ms1260584454294838, createdTime=Tue Dec 25 22:29:00 CST 2018, time=2018-12-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2000542, encodeId=f185200054290, content=<a href='/topic/show?id=d5df12695e6' target=_blank style='color:#2F92EE;'>#Neurol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12695, encryptionId=d5df12695e6, topicName=Neurol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Thu Mar 14 22:29:00 CST 2019, time=2019-03-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=339344, encodeId=3c323393440c, content=借鉴大家经验很棒, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/11/23/ac01daf0962458a9eb8c0b1e2f6ce5bc.jpg, createdBy=04b81710322, createdName=1771ae4158m, createdTime=Sat Aug 18 12:46:50 CST 2018, time=2018-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=339343, encodeId=b14e339343b3, content=跟大家学习很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/11/23/ac01daf0962458a9eb8c0b1e2f6ce5bc.jpg, createdBy=04b81710322, createdName=1771ae4158m, createdTime=Sat Aug 18 12:46:43 CST 2018, time=2018-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=339342, encodeId=399133934212, content=学习一下很不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/11/23/ac01daf0962458a9eb8c0b1e2f6ce5bc.jpg, createdBy=04b81710322, createdName=1771ae4158m, createdTime=Sat Aug 18 12:46:29 CST 2018, time=2018-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1311765, encodeId=b4ff1311e6567, content=<a href='/topic/show?id=624de11204a' target=_blank style='color:#2F92EE;'>#痉挛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71120, encryptionId=624de11204a, topicName=痉挛)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=778d36, createdName=柳叶一刀, createdTime=Sat Aug 18 06:29:00 CST 2018, time=2018-08-18, status=1, ipAttribution=)]