简介：Primaryhemifacialspasm(HFS)isadisorderthatcausesfrequentinvoluntarycontractionsinthemusclesononesideoftheface,duetoabloodvesselcompressingthenerveatitsrootexitzone(REZ)fromthebrainstem.Numerousprospectiveandretrospectivecaseserieshaveconfirmedtheefficacyofmicrovasculardecompression(MVD)ofthefacialnerveinpatientswithHFS.However,whileMVDiseffective,therearestillsignificantpostoperativecomplications.Inthispaper,recenttechnologicaladvancesrelatedtoMVD(suchaslateralspreadresponse,brainstemauditoryevokespotential,threedimensionaltimeofflightmagneticresonanceangiography,intraoperativeneuroendoscopy)arereviewedforthepurposesofimprovingMVDtreatmentefficacyandreducingpostoperativecomplications.

简介：Objective:Toevaluateunusualpossiblecausesandclinicalpresentationsofhemifacialspasm(HFS).Methods:Theauthorsreviewed1642casesofHFS.Assessmentswerebasedonclinicalfeatures,3-dimensionaltime-of-flightmagneticresonanceangiography,andsurgicalfmdings.Causesotherthanneurovascularcompressionattherootexitzoneofthefacialnervewereinvestigatedandunusualclinicalpresentationswerenoted.Results:Nine(0.5%)patientshadasecondarycausativestructurallesion,7patientshadatumor,andtheremaining2hadavascularmalformation.Directcompressionbydolichoectaticvertebrobasilararterywasnotedin

简介：采用针刺法治疗面肌痉挛53例，主穴取太冲、风池、翳风、三阴交，随症配穴，结果痊愈9例，显效13例，有效27例，无效4例，总有效率92．5％。

简介：Facialspasmisclinicallyacommonlyen-counteredandobstinatedisease.Thisdiseasewastreatedbymildacupuncturewithasatisfac-torytherapeuticeffect,assummarizedinthefollowing.GENERALDATATherewere87casesintotalinthisseries,52males.and35females.Theoldestandtheyoungestpatientswere60and28yearsoldre-spectively.Thelongestandtheshortestcourses

简介：Objective:TodiscussthemechanismofcerebralvesselspasmcausedbyconcussionandtheeffectofNimodipineonconcussion.Methods:Atotalof224patientswhoweretreatedfromMarch1995toOctober1999weredividedintotwogroupsrandomly,ie.Nimodipinegroup(113cases)andcontrolgroup(11cases).Middlecerebralartery(MCA),basilarartery(BA)andtheaveragepeakforwardvelocityofcerebralbloodflowwereobservedbycolorthree-dimensionaltranscranialDoppler(3D-TCD)within24hoursafteradmissionandattheendof3-6daysoftreatment.Cerbralbloodflowchanges,characteristicsandtreatmenteffectwereanalyzedanddeterminedbyclinicalmainsymptomdisappearancerate.Results:Inconcussion,cerebralbloodflowwasdividedinto3phases:cerebralbloodflowlowinfusiondilationphase,cerebralbloodvesselspasmphaseandcerebralbloodflowrecoveryphase.IntheNimodipinegroup,clinicalmainsymptomdisappearanceratewashigherthanthatinthecontrolgroupinthecerebralspasmandrecoveryphaseswithasignificantdifference(P<0.01).Conclusions:Cerebralvesselspasm,hypoxiaandischemialesionarethemainpathologicalchanges.Whethercerebraldysfunctionisreversibleornotismainlydeterminedbyspasmtimeofcerebralbloodvessel.Nimodipinehasagoodeffectonreleasingspasmanddiminishingthecerebralbloodfolwvelicity.Itnotonlyimprovescurativeeffectonconcussion,butalsoreducesandpreventsconcussionsequelae.Hence,concussionpatientswhohavecerebralspasmconfirmedby3D-TCDshouldbegivenNimodipineroutinelyandearly.

简介：观察点的本地选择的治疗学的效果的目的在面部痉挛的处理与腹的针灸结合了。美容的八十个盒子痉挛的方法随机被划分成处理组和控制组，在每个组的40个盒子，由简单地与本地选择的点和本地点相结合的腹的针灸分别地对待。在处理的30个会议以后，治疗学的效果被评估。在treatrnent组，的结果全部的有效的率到达了92.5%，药品率75.0%；当时在控制组，，全部的有效的率是80.0%，药品与二个组(P0.05)之间的重要差别评估55.0%。腹的针灸的治疗学的效果与本地点相结合的结论比在面部痉挛的处理的点的简单本地选择的优异。

简介：目的:探讨针刺督脉为主的方法治疗中风后肢体痉挛的临床意义.方法:针刺督脉为主配合关节局部取穴治疗中风后肢体痉挛患者29例,与传统取穴方法治疗的29例作疗效对比.结果:治疗前两组患者肢体Ashoworth张力评分及Fugl-Meyer运动功能评分比较差异无显著性(P＞0.05);治疗后两组张力评分评定差异有显著性(P＜0.05);运动功能评分与治疗前比较均明显升高(P＜0.01),但治疗组与对照组比较,肢体运动功能改善更显著(P＜0.05).结论:针刺督脉为主治疗中风后肢体痉挛较传统的针刺方法可明显提高疗效.

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简介：IntroductionandPatientDescription,Assessmentofpatientswithanginapectorisisachallengefortheclinicalcardiologist.Myocardialischemiaandanginapectoriscanbecausedbyvariousmechanisms,suchascoronaryatherosclerosis,vasospasm,orcoronarymicrovasculardysfunction[1].Moreover,thesemechanismsmayoverlapinagivenpatient,makingitdifficulttodeterminethecauseofangina.Wereportherethecaseofa57-year-oldfemalepatientwithahistoryofanginapectoristhatstarted3monthspreviously.Hersymptomsoccurredpredominantlyatrestbutalsowitheffort.Thepatientwasanactivesmokerwhosmokedabout15cigarettesperday(~20packyears).Moreover,shehadhypertensiontreatedwithenalapril.HerLDLlevelwas75mg/dlwithoutanycholesterol-loweringtherapy.Shewassentfordiagnosticcoronaryangiographyforsuspectedstenosingcoronaryarterydisease.

简介：IntroductionMyocardialischemiaandanginapectoriscanbecausedbyvariousmechanismssuchascoronaryatherosclerosis,vasospasmorcoronarymicrovasculardysfunction[1].Weherereportacaseofa56-year-oldfemalepatientwithahistoryofpreviouspercutaneouscoronaryinterventions(PCI)whoreportedrepetitiveattacksofrestingangina.Coronaryriskfactorsincludedhypertension,hypercholesterolemia(LDL=97mg/dLonatorvastatin),ex-smoker(ceased2013),andapositivefamilyhistory(fatalmyocardialinfarctioninfatheraged52yearsandbrother59years).