首页/ 题库 / [单选题]男性，62岁。因左侧面颊部阵发性烧灼样疼的答案

男性，62岁。因左侧面颊部阵发性烧灼样疼痛2月余就诊。每次发作持续10余分钟左右。体检：左侧眼眶下面颊部痛觉减退，咀嚼肌无力，角膜反射似较右侧迟钝。下列哪项处理是正确的（）

单选题
2021-09-04 17:23
A、积极查找病因，对因处理
B、一般无法明确病因，对症处理
C、首选卡马西平口服
D、手术切断三叉神经周围支
E、神经阻滞疗法
查看答案
正确答案
A
试题解析
本例为老年男性患者，病程已2月。临床主要表现为左侧三叉神经运动支和感觉支都有损，害，多见于占位病变压迫或癌肿转移引起。应该积极查找病因，以免贻误诊治。原发性三叉神经痛一般仅累及三叉神经感觉支，以1～2支受累多见，运动支功能不受影响，即不会出现咀嚼肌无力。因此，针对原发性三叉神经痛的处理是不适当的。
标签： 周围神经疾病 精神科住院医师 神经内科 广西住院医师 周围神经病
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