<b>外傷性三叉神経ニューロパシーに対する星状神経節ブロックの効果 </b>

• 坂本 英治

  九州歯科大学歯科麻酔学講座口腔神経・疼痛外来

• 椎葉 俊司

  九州歯科大学歯科麻酔学講座口腔神経・疼痛外来

• 今村 佳樹

  九州歯科大学歯科麻酔学講座口腔神経・疼痛外来

• 坂本 和美

  九州歯科大学歯科麻酔学講座口腔神経・疼痛外来

• 松本 吉洋

  九州歯科大学歯科麻酔学講座口腔神経・疼痛外来

• 石川 敏三

  山口大学医学部保健学科基礎検査講座

• 岩本 将嗣

  九州歯科大学歯科麻酔学講座口腔神経・疼痛外来

• 河原 博

  九州歯科大学歯科麻酔学講座口腔神経・疼痛外来

• 仲西 修

  九州歯科大学歯科麻酔学講座口腔神経・疼痛外来

書誌事項

タイトル別名

• <b>Effects of stellate ganglion block on traumatic trigeminal neuropathy </b>

抄録

   Background: Trigeminal neuropathy following dental treatment is one of the most difficult conditions to treat. Prolonged abnormal sensation tends to be observed in cases whose nerves were moderately or severely damaged. We previously reported that the severity of nerve injury could be measured with electric and tactile detection thresholds. The purpose of this study was to investigate if stellate ganglion block (SGB) started immediately after nerve injury could be an effective treatment procedure.<br>   Methods: The present study included 64 damaged and 15 intact trigeminal divisions in 59 patients. Electric detection threshold (EDT) one week after the injury was measured and all divisions were estimated to have an equivalent severity of damage. Damaged nerves were divided into three groups. 1) Nerves followed up without SGB (NSGB: n=17). 2) Nerves that were treated with SGB within two weeks of injury were classified ESGB (n=28), and 3) those with treatment commencing later than two weeks were LSGB (n=19). EDT and type of abnormal sensation (hypoesthesia, allodynia, hyperalgesia and dysesthesia) were periodically recorded throughout twelve months from the injury. EDT in 15 contralateral divisions was repeatedly measured to assure its reproducibility.<br>   Results: Recovery from hypoesthesia was significantly better in ESGB than other two groups and better in LSGB than NSGB. Furthermore, other types of abnormal sensation on twelve months following injury were less frequently in ESGB.<br>   Conclusions: These results suggest that early SGB prevented aggravation of the pathology and accelerated recovery of nerve function.

収録刊行物

• PAIN RESEARCH

  PAIN RESEARCH 18 (1), 25-30, 2003

  日本疼痛学会

キーワード

• trigeminal neuropathy
• stellate ganglion block
• nerve injury
• quantitative sensory testing

詳細情報

• CRID: 1390001204365782528
• NII論文ID: 130004839589
• NII論文ID: 10010514507
• NII書誌ID: AN10195934
• DOI: 10.11154/pain.18.25
• ISSN: 21874697
• ISSN: 09158588
• ISSN: http://id.crossref.org/issn/09158588
• Web Site: https://www.jstage.jst.go.jp/article/pain/18/1/18_4/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2005278300
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可