关于三叉神经痛的问题问问大家，谢谢

liugang_sz

An 83-year-old female presents with an 11—month history of intense, sharp pain over the left eye. You note healed vesicles over the left frontal area. Which of the following most accurately describes this patient’s prognosis? A. Her pain will completely resolve with time. B. Her pain will transform to a dull sensation as nerve endings degenerate. C. Her condition will respond to high-dose antiviral medications. D. Her condition will respond poorly to antiepileptic drugs (AEDs) and surgical therapies. E. Her condition will eventually lead to paralysis in the distribution of the affected nerve root. D. Painful, posttraumatic trigeminal neuropathies such as postherpetic neuralgia have a poor response rate to AEDs and surgical therapies. The general approach is treatment with various neuropathic medications and analgesics, but this can be challenging. The inciting event is damage to acraniocervical nerve and ensuing pain that is continuous or recurrent. Other conditions in this group include inferior alveolar neuralgia (after mandibular third molar extraction) and infraorbital neuralgia (after maxillary trauma). postherpetic neuralgia带状疱疹后神经痛怎么也属于创伤后三叉神经病posttraumatic trigeminal neuropathies了呢？

• 而且这个病人怎么成了创伤后三叉神经病posttraumatic trigeminal neuropathies？
  

flying_8462

原本想进来学习的，谁知道点开是全英文的，表示看不懂呀

Naci...

创伤后三叉神经痛的成因及治疗

[color=rgba(0, 0, 0, 0.9)]创伤后三叉神经痛可能由多种因素引起，

外伤导致的神经纤维撕裂

[color=rgba(0, 0, 0, 0.9)]外伤可能导致神经纤维撕裂，这种情况下神经传导会中断，进而引起三叉神经功能障碍。

外伤引起的神经压迫

[color=rgba(0, 0, 0, 0.9)]外力作用可能导致神经被周围组织挤压，这种压迫会阻碍神经传导，影响三叉神经功能。

颅底骨折引起的继发性神经损伤

[color=rgba(0, 0, 0, 0.9)]颅底骨折可能导致局部软组织肿胀和血肿形成，这些因素可能对三叉神经产生间接压力或牵拉，造成继发性神经损伤。

外伤后脑震荡引起的继发性神经损伤

[color=rgba(0, 0, 0, 0.9)]外伤后脑震荡会引起短暂的大脑功能障碍，可能导致长期头痛、记忆力下降等症状，这可能是由于脑震荡后的一系列病理生理过程导致的继发性神经损伤。

外伤后脑干损伤引起的继发性神经损伤

[color=rgba(0, 0, 0, 0.9)]外伤后脑干损伤是由于外界力量直接或间接作用于头部，导致脑干受到挤压或挫裂，引起神经细胞受损或死亡，进一步导致神经信号传导异常。