Analysis of morphological measurements of the trigeminal nerve in the linac stereotactic radiosurgery simulation targeting the root entry zone in trigeminal neuralgia

Medélez-Borbonio, Rafael; Perdomo‐Pantoja, Alexander; Serrano-Rubio, Alejandro; Tomberlin, Colson; Revuelta-Gutiérrez, Rogelio; Moreno-Jiménez, Sergio

doi:10.1016/j.neucir.2018.10.001

Cited by 1 publication

(1 citation statement)

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“…Imaging examinations showed that there was a variation of the Meckel cavity with an angle of 86 o (by nature 98 o , P=0.004) and compression of the branches V2 and V3. Medélez-Borbonio et al, 2018 (31) published a retrospective study of 53 patients with tri-geminal neuralgia. They bilaterally measured the cisternal segment of the trigeminal nerve, the trigeminal-pontine angle and the lateral width of the pontine cistern on the Fiesta MRI sequence.…”

Section: Resultsmentioning

confidence: 99%

Trigeminal Neuralgia and Potential Correlations with Anatomical Variations of the Trigeminal Nerve

Alwardian

Chrysikos

Samolis

et al. 2021

ama

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Objective. Trigeminal neuralgia is a long-term facial pain syndrome. Our aim was to review the anatomy of the trigeminal nerve and its anatomical relationship with the adjacent structures that may contribute to the pathogenesis of trigeminal neuralgiaMethods. Eligible articles were identified by a search of the Medline Embase, Pubmed Cinahl and Google Scholar bibliographical databases. We checked all the references of the relevant reviews and eligible articles that our search retrieved, in order to identify potentially eligible conference abstracts. Titles of interest were further reviewed by abstract. Case reports were excluded.Results. Trigeminal neuralgia syndrome seems to be caused by anatomical variations of the trigeminal nerve and its adjacent anatomical structures, mainly through compression. We depict the causes, the pathogenesis, and the clinical manifestations of the syndrome. The classification, diagnostic approach, differential diagnosis, and treatment modalities are also presented and they may be personalized according to the anatomical variations of the trigeminal nerve present, which may lead to trigeminal neuralgia syndrome.Conclusion. It is very important to be very careful in cases of new emerging neuralgia and to avoid the term “idiopathic” until proven otherwise by validating the newer and more appropriate tests and diagnostic criteria. Current data are insufficient and future research is needed in order to discover innovative and more effective treatments of trigeminal neuralgia, considering the anatomy and the anatomical variations of the trigeminal nerve.

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Section: Resultsmentioning

confidence: 99%