( ! ) Deprecated: 從 2.8.0 版開始,Elementor\Scheme_Typography <strong>已淘汰不用</strong>,請改用 Elementor\Core\Schemes\Typography。 in /var/www/vhosts/neurosurgeon.hk/httpdocs/wp-includes/functions.php on line 5401
Call Stack
#TimeMemoryFunctionLocation
10.0005364400{main}( ).../index.php:0
20.0007365800require( '/var/www/vhosts/neurosurgeon.hk/httpdocs/wp-blog-header.php ).../index.php:17
31.187373018112require_once( '/var/www/vhosts/neurosurgeon.hk/httpdocs/wp-includes/template-loader.php ).../wp-blog-header.php:19
41.214373954736apply_filters( $hook_name = 'template_include', $value = '/var/www/vhosts/neurosurgeon.hk/httpdocs/wp-content/themes/hello-elementor/index.php' ).../template-loader.php:104
51.214373955144WP_Hook->apply_filters( $value = '/var/www/vhosts/neurosurgeon.hk/httpdocs/wp-content/themes/hello-elementor/index.php', $args = [0 => '/var/www/vhosts/neurosurgeon.hk/httpdocs/wp-content/themes/hello-elementor/index.php'] ).../plugin.php:189
61.290877119976ElementorPro\Modules\ThemeBuilder\Classes\Locations_Manager->template_include( $template = '/var/www/vhosts/neurosurgeon.hk/httpdocs/wp-content/themes/hello-elementor/index.php' ).../class-wp-hook.php:303
71.293277149520ElementorPro\Modules\ThemeBuilder\Documents\Single_Page->get_settings( $setting = 'page_template' ).../locations-manager.php:148
81.293277149520ElementorPro\Modules\ThemeBuilder\Documents\Single_Page->ensure_settings( ).../base-object.php:40
91.293277149520ElementorPro\Modules\ThemeBuilder\Documents\Single_Page->get_init_settings( ).../base-object.php:142
101.293277149520ElementorPro\Modules\ThemeBuilder\Documents\Single_Page->get_data( $item = 'settings' ).../controls-stack.php:2049
111.293277149520ElementorPro\Modules\ThemeBuilder\Documents\Single_Page->sanitize_settings( $settings = ['eael_ext_toc_title' => 'Table of Contents', 'background_background' => 'classic', '__globals__' => ['background_color' => 'globals/colors?id=0e03762'], 'preview_type' => 'single/page', 'preview_id' => '408'], $controls = ??? ).../controls-stack.php:1061
121.293277149520ElementorPro\Modules\ThemeBuilder\Documents\Single_Page->get_controls( $control_id = ??? ).../controls-stack.php:2302
131.293277149520ElementorPro\Modules\ThemeBuilder\Documents\Single_Page->get_stack( ).../controls-stack.php:286
141.293277149520ElementorPro\Modules\ThemeBuilder\Documents\Single_Page->init_controls( ).../controls-stack.php:480
151.293277149560ElementorPro\Modules\ThemeBuilder\Documents\Single_Page->register_controls( ).../controls-stack.php:2215
161.293277149560ElementorPro\Modules\ThemeBuilder\Documents\Single_Page->register_controls( ).../single-base.php:93
171.293277149560ElementorPro\Modules\ThemeBuilder\Documents\Single_Page->register_controls( ).../theme-page-document.php:33
181.293277149560ElementorPro\Modules\ThemeBuilder\Documents\Single_Page->register_controls( ).../theme-document.php:270
191.293677153216do_action( $hook_name = 'elementor/documents/register_controls', ...$arg = variadic(class ElementorPro\Modules\ThemeBuilder\Documents\Single_Page { private ${Elementor\Core\Base\Document}main_id = 231; private ${Elementor\Core\Base\Document}is_saving = FALSE; private ${Elementor\Core\Base\Document}elements_iteration_actions = []; protected $post = class WP_Post { public $ID = 231; public $post_author = '1'; public $post_date = '2021-02-28 11:11:44'; public $post_date_gmt = '2021-02-28 03:11:44'; public $post_content = 'Previous\n\t\t\t\t\t\t\tNext'; public $post_title = 'BaS Page'; public $post_excerpt = ''; public $post_status = 'publish'; public $comment_status = 'closed'; public $ping_status = 'closed'; public $post_password = ''; public $post_name = 'bas-page'; public $to_ping = ''; public $pinged = ''; public $post_modified = '2021-04-19 10:49:30'; public $post_modified_gmt = '2021-04-19 02:49:30'; public $post_content_filtered = ''; public $post_parent = 0; public $guid = 'https://neurosurgeon.hk/?post_type=elementor_library&#038;p=231'; public $menu_order = 0; public $post_type = 'elementor_library'; public $post_mime_type = ''; public $comment_count = '0'; public $filter = 'raw' }; private ${Elementor\Controls_Stack}id = 231; private ${Elementor\Controls_Stack}active_settings = NULL; private ${Elementor\Controls_Stack}parsed_active_settings = NULL; private ${Elementor\Controls_Stack}parsed_dynamic_settings = NULL; private ${Elementor\Controls_Stack}data = ['id' => 231, 'settings' => [...], 'post_id' => 231]; private ${Elementor\Controls_Stack}config = NULL; private ${Elementor\Controls_Stack}current_section = ['tab' => 'style', 'condition' => [...], 'section' => 'eael_ext_table_of_content_header_style']; private ${Elementor\Controls_Stack}current_tab = NULL; private ${Elementor\Controls_Stack}current_popover = NULL; private ${Elementor\Controls_Stack}injection_point = NULL; private ${Elementor\Controls_Stack}settings_sanitized = FALSE; private ${Elementor\Controls_Stack}render_attributes = []; private ${Elementor\Core\Base\Base_Object}settings = NULL }) ).../document.php:585
201.293677153592WP_Hook->do_action( $args = [0 => class ElementorPro\Modules\ThemeBuilder\Documents\Single_Page { private ${Elementor\Core\Base\Document}main_id = 231; private ${Elementor\Core\Base\Document}is_saving = FALSE; private ${Elementor\Core\Base\Document}elements_iteration_actions = [...]; protected $post = class WP_Post { ... }; private ${Elementor\Controls_Stack}id = 231; private ${Elementor\Controls_Stack}active_settings = NULL; private ${Elementor\Controls_Stack}parsed_active_settings = NULL; private ${Elementor\Controls_Stack}parsed_dynamic_settings = NULL; private ${Elementor\Controls_Stack}data = [...]; private ${Elementor\Controls_Stack}config = NULL; private ${Elementor\Controls_Stack}current_section = [...]; private ${Elementor\Controls_Stack}current_tab = NULL; private ${Elementor\Controls_Stack}current_popover = NULL; private ${Elementor\Controls_Stack}injection_point = NULL; private ${Elementor\Controls_Stack}settings_sanitized = FALSE; private ${Elementor\Controls_Stack}render_attributes = [...]; private ${Elementor\Core\Base\Base_Object}settings = NULL }] ).../plugin.php:470
211.293677153592WP_Hook->apply_filters( $value = '', $args = [0 => class ElementorPro\Modules\ThemeBuilder\Documents\Single_Page { private ${Elementor\Core\Base\Document}main_id = 231; private ${Elementor\Core\Base\Document}is_saving = FALSE; private ${Elementor\Core\Base\Document}elements_iteration_actions = [...]; protected $post = class WP_Post { ... }; private ${Elementor\Controls_Stack}id = 231; private ${Elementor\Controls_Stack}active_settings = NULL; private ${Elementor\Controls_Stack}parsed_active_settings = NULL; private ${Elementor\Controls_Stack}parsed_dynamic_settings = NULL; private ${Elementor\Controls_Stack}data = [...]; private ${Elementor\Controls_Stack}config = NULL; private ${Elementor\Controls_Stack}current_section = [...]; private ${Elementor\Controls_Stack}current_tab = NULL; private ${Elementor\Controls_Stack}current_popover = NULL; private ${Elementor\Controls_Stack}injection_point = NULL; private ${Elementor\Controls_Stack}settings_sanitized = FALSE; private ${Elementor\Controls_Stack}render_attributes = [...]; private ${Elementor\Core\Base\Base_Object}settings = NULL }] ).../class-wp-hook.php:327
221.295977283568Essential_Addons_Elementor\Extensions\Table_of_Content->register_controls( $element = class ElementorPro\Modules\ThemeBuilder\Documents\Single_Page { private ${Elementor\Core\Base\Document}main_id = 231; private ${Elementor\Core\Base\Document}is_saving = FALSE; private ${Elementor\Core\Base\Document}elements_iteration_actions = []; protected $post = class WP_Post { public $ID = 231; public $post_author = '1'; public $post_date = '2021-02-28 11:11:44'; public $post_date_gmt = '2021-02-28 03:11:44'; public $post_content = 'Previous\n\t\t\t\t\t\t\tNext'; public $post_title = 'BaS Page'; public $post_excerpt = ''; public $post_status = 'publish'; public $comment_status = 'closed'; public $ping_status = 'closed'; public $post_password = ''; public $post_name = 'bas-page'; public $to_ping = ''; public $pinged = ''; public $post_modified = '2021-04-19 10:49:30'; public $post_modified_gmt = '2021-04-19 02:49:30'; public $post_content_filtered = ''; public $post_parent = 0; public $guid = 'https://neurosurgeon.hk/?post_type=elementor_library&#038;p=231'; public $menu_order = 0; public $post_type = 'elementor_library'; public $post_mime_type = ''; public $comment_count = '0'; public $filter = 'raw' }; private ${Elementor\Controls_Stack}id = 231; private ${Elementor\Controls_Stack}active_settings = NULL; private ${Elementor\Controls_Stack}parsed_active_settings = NULL; private ${Elementor\Controls_Stack}parsed_dynamic_settings = NULL; private ${Elementor\Controls_Stack}data = ['id' => 231, 'settings' => [...], 'post_id' => 231]; private ${Elementor\Controls_Stack}config = NULL; private ${Elementor\Controls_Stack}current_section = ['tab' => 'style', 'condition' => [...], 'section' => 'eael_ext_table_of_content_header_style']; private ${Elementor\Controls_Stack}current_tab = NULL; private ${Elementor\Controls_Stack}current_popover = NULL; private ${Elementor\Controls_Stack}injection_point = NULL; private ${Elementor\Controls_Stack}settings_sanitized = FALSE; private ${Elementor\Controls_Stack}render_attributes = []; private ${Elementor\Core\Base\Base_Object}settings = NULL } ).../class-wp-hook.php:303
231.297277329688spl_autoload_call( $class_name = 'Elementor\\Scheme_Typography' ).../Table_of_Content.php:594
241.297277329784Elementor\Autoloader::autoload( $class = 'Elementor\\Scheme_Typography' ).../Table_of_Content.php:594
251.297377329904Elementor\Utils::handle_deprecation( $item = 'Elementor\\Scheme_Typography', $version = '2.8.0', $replacement = 'Elementor\\Core\\Schemes\\Typography' ).../autoloader.php:336
261.297377330784_deprecated_file( $file = 'Elementor\\Scheme_Typography', $version = '2.8.0', $replacement = 'Elementor\\Core\\Schemes\\Typography', $message = ??? ).../utils.php:568
271.297377331104trigger_error( $message = '從 2.8.0 版開始,Elementor\\Scheme_Typography <strong>已淘汰不用</strong>,請改用 Elementor\\Core\\Schemes\\Typography。', $error_type = 16384 ).../functions.php:5401
面部神經抽搐 – 香港微創腦及脊椎神經外科手術中心

非一般的眼眉跳: 半邊臉肌抽搐痙攣症 (Hemifacial Spasm)

相信很多人都有眼眉跳的經驗,但非一般的眼眉跳可能是半邊面肌痙攣症(Hemifacial spasm/ HFS)的病徵。

半邊臉肌抽搐痙攣症是一種神經肌肉失調的疾病,病人一邊眼簾或面部肌肉會有不規律、非自主的收縮和抽搐現象。由於通常只是半側面部,左邊或右邊抽搐,故又稱為「半面痙攣」,但兩邊面同時抽搐亦偶有出現。

人體的面部肌肉是由我們腦部,由頭顱底部腦幹起始的第七條腦神經,即面部神經(facial nerve)所控制。而面部神經於顱骨耳部下側分為五束去控制不同位置的面部肌肉。

半邊面肌痙攣症的病人多於中年後發病, 女性患病率比男性高。病因是由位於腦幹的面部神經根出區域神經元受到外來壓迫或刺激,導致神經線產生異常興奮的錯誤神經訊號,尤如電線的短路現象一樣,導致病人半邊的眼眉或者面部肌肉不自主地抽搐。

剛病發開始時,病人的眼簾或臉部肌肉會無法控制地連續抽搐或痙攣,病人會感到不適。隨着病情逐漸惡化,臉部一邊可能有眼眉跳、眨眼、嘴角抖動、臉皮皺縮,造成怪異表情等現象,從而影響病人的生活作息、社交、人際關係,以及困擾病人的心情。

面部神經受到外來壓迫的通常原因為:

  1. 腦血管壓迫面部神經是造成大多數面肌痙攣的主要成因: 腦幹的脊椎動脈或微循環血管,因為膽固醇或退化而產生曲張現象。又或者是因為其他原因,例如:曾經發炎而導致血管黏附或壓迫着面神經而對其造成壓迫。
  2. 腫瘤:聽神經纖維瘤、膽脂瘤、血管瘤、腦膜瘤或皮樣囊腫等, 都會壓迫着面神經而導致短路現象。

診斷方法:

  1. 面部肌電圖(Facial muscle EMG):用來測量和記錄面部肌肉在鬆弛和收縮反應時的電波活動。
  2. 磁力共振醫療造影(MRI):用來找尋壓迫着面部神經的原因。

治療方案:

  1. 藥物療法:
    藥物對病發初期症狀較輕的病人會有部分療效,輕微的面肌痙攣,可以使用鎮靜劑或抗痙攣藥物進行緩解。醫生可以先以藥物治療一至兩個星期,如果病人對藥物治療效果反應良好,又不想做手術時,又或者是如果病人的年紀太大,或有其他疾病而不適合手術治療時,藥物治療便為第一選擇。但病人需要知道的是,藥物治療只能治標不能治本 。而且,雖然三分之二的病人在服用藥物初期得到有效舒緩,但久服之後,病人會對藥物產生抗藥性,藥物因而漸漸變得無效。此外,藥物會有意志模糊混亂,嗜睡,頭暈,站立、行走不穩,或者嚴重敏感的副作用。所以,有些病人會因藥物副作用太大而不能用藥。

  2. 肉毒桿菌素注射療法:
    對面部肌肉局部注射肉毒桿菌素對於面部痙攣非常有效。肉毒桿菌素是由一種厭氧細菌所產生的神經毒素,它能阻斷神經與肌肉的接合處的神經傳導,使肌肉無法收縮,能有效減少不自主的肌肉收縮,約對九成的病患有療效。雖然注射肉毒桿菌素是很安全的,但亦可能會出現一些小副作用,例如:注射部位會因皮下出血而出現淤青,病人亦有可能會出現眼臉下垂、斜視重影、流淚或眼睛乾澀、以及嘴角歪斜等短暫的現象。這些現象通常會在一至兩週內改善並消失。但肉毒桿菌素注射治療亦是非永久性的,要每三至六個月注射一次,是另一治標而不是治本的非根治方案。

  3. 微創腦神經外科手術:
    後顱窩顏面神經根微血管減壓術(Retromastoid Craniotomy for Microvascular Decompression for the Root Exit Zone of Facial Nerve): 是目前最為常用治療面肌痙攣症的最有效而徹底的根治方法。微血管減壓手術是一種相當精細, 而且非常成熟的微創腦神經外科血管顯微手術, 在臨床應用於治療面肌痙攣、三叉神經痛、舌咽神經痛等腦神經疾病已有近60年歷史。

全身麻醉下, 腦神經外科醫生會在顯微鏡下, 在病人耳後的顱底骨進行手術, 手術並不是在大腦內部進行操作,而是利用人體組織的間隙、在腦組織與顱骨之間的蛛網膜下腔內進行手術, 因此不需要破開任何腦神經。腦神經外科醫生會將壓迫著顏面神經根部的血管隔開,並以人造海棉(Teflon) 將血管與神經永久阻隔,去除神經線短路的因由。手術的治愈率達到80-90%上,復發率約10%,嚴重的併發症 (如聽覺神經功能失聰) 的風險的發生率側為2%。

 

微血管環壓迫著顏面神經

微血管環壓迫著顏面神經

Hemifacial Spasm Surgeon

半邊臉肌抽搐痙攣症手術案例