Lymph node destruction treatment of V cord pain digitizes and erases the background

This is an automatically translated article.

The article is professionally consulted by MSc, BS. Dang Manh Cuong - Doctor of Radiology - Department of Diagnostic Imaging - Vinmec Central Park International General Hospital. The doctor has over 18 years of experience in the field of ultrasound - diagnostic imaging.
Lymph node removal technique performed under background erasure digitizer is a minimally invasive, safe, and highly effective technique. Up to 80-90% of patients have complete pain relief after the procedure, the remaining patients still have pain but the pain level is significantly reduced, no longer affecting life much.

1. Overview of Vaginal pain

Nerve pain is defined as pain that occurs in one or more areas that supply sensation to the V nerve. V nerve pain is also known by many other names such as trigeminal neuralgia, painful twitch, facial pain (Trifacial neuralgia), Fothergill's disease, ... The disease is characterized by sudden, severe pain in the face, aching or sharp pain like an electric shock, or recurrent episodes. Pain usually occurs on one side of the face, the right side is more common than the left, pain can be spontaneous or arise after eating, chewing, brushing teeth, washing face, ... The pain is often accompanied by muscle twitching. facial muscles, sweating, runny nose, drooling.
At the onset, the pain only lasts a few seconds, the pain is mild. Over time, the pain persists and becomes more frequent. Vaginal pain has been described as the most terrible muscle pain known to man. The pain caused by the disease greatly affects the patient's quality of life, so V cord pain is also known as "suicide disease", because many people suffer from this disease. do not want to live, some people want to commit suicide.

Vaginal pain is common in people after the age of 40 (more than 90%), the rate of the disease in women is twice as high as in men, the incidence is 4-5 cases/100,000 people. Most cases of the disease have no known cause, these cases are referred to as primary or idiopathic V. Although the mechanism of the disease is not clear, it is widely accepted that it is due to contact between a normal blood vessel (arterial or venous) with the V nerve at the base of the brain. The continuous pressure of blood vessels on the cortex nerve roots, accompanied by the action of the heartbeat, will amplify causing rubbing, loss of myelin layer in the nerve cell cortex. In the absence of significant isolation, neurons will become excitable and discharge uncontrollably. The pulse of the blood vessels will stimulate, causing the onset of pain.

2. How to treat V cord pain?

Treatment of nerve pain usually begins with medical therapy with drugs that reduce pain, anticonvulsants, and block pain signals to the brain. The commonly used drugs are:
Anticonvulsants: carbamazepine, phenytoin, oxcarbazepine, lamotrigine,... Antispasmodic: Baclofen Vitamin B group Botox injection Most patients in the early stages respond to treatment drugs. . However, after a while, about 75% of cases will not relieve pain when taking drugs, the patient cannot bear the pain, at this time to ensure the quality of life, the patient must be treated surgically. Surgical intervention methods can be used such as: compression with a mechanical balloon, radiation therapy with an accelerator or gamma knife, surgical release of vessels around the gasser ganglion,... Percutaneous lymph node dissection is usually The last method is used to cut the pain of the V cord for the patient.

3. How is digitizing background eraser treatment of V-cord pain?

Lymph node dissection was performed under the guidance of a digital erasure angiogram (DSA). Digital background erasing technique is an imaging method that combines X-ray and digital processing, using algorithms to remove background on 2 images obtained before and after contrast injection. In addition, digital imaging is also a means to help guide invasive procedures to perform accurately and safely.
The technique of lymphadenectomy to treat V cord pain digitizes and erases the background is done as follows:
Patients who are treated for V nerve pain are given local anesthesia. Under the guidance of digitized angiography, the doctor uses a needle to poke the V node and then inject absolute alcohol or heat with high-frequency waves. This is a minimally invasive, highly safe procedure. The procedure is short, only about 30 minutes, right after the procedure, the patient can sit up, eat normally and be discharged the next day.
Lymphocytosis treatment of digitized V cord pain is suitable for people who are old, have chronic medical diseases whose health is not guaranteed for anesthesia, patients who have pain again after surgery. The method has many advantages that it can be widely applied to many subjects, can perform the procedure many times, and has a high rate of post-intervention pain relief. About 80-90% of patients have pain relief after performing lymphadenectomy, the effectiveness after three years is 54-64%.
The disadvantage of the method is that although it is only performed in 30 minutes, to ensure safety and effectiveness, lymph node dissection treatment of the V cord needs to be performed by a doctor with deep expertise, high skills, and rich experience. experiment, with a modern background erasing digital camera system.
Lymphocytosis treatment of V cord pain digitized background erasure is a complicated procedure, requiring a doctor with professional qualifications, skills and experience to perform to avoid possible dangerous complications.

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