Persistent trigeminal artery associated with trigeminal neuralgia: hypothesis of neurovascular compression

Bondt, Bert-Jan de; Stokroos, Robert J.

doi:10.1007/s00234-006-0150-8

Cited by 44 publications

(33 citation statements)

References 22 publications

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“…4 The embryonic trigeminal artery has been suggested to cause tic douloreux. [10][11][12][13][14] As a remnant of the embryonic trigeminal artery, the TCA can be considered as a potential source of compression to the trigeminal nerve roots. In almost every case in our study, the artery coursed very closely to the nerve root entry zones; making loops, encircling or sometimes contacting the nerve.…”

Section: Discussionmentioning

confidence: 99%

Anatomy and clinical significance of the trigeminocerebellar artery

Tüccar

Sen

Esmer

2009

Journal of Clinical Neuroscience

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Section: Discussionmentioning

confidence: 99%

Anatomy and clinical significance of the trigeminocerebellar artery

Tüccar

Sen

Esmer

2009

Journal of Clinical Neuroscience

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“…[13] Neuroradiological Evaluation Bondt et al, evaluated 288 patients with magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) for trigeminal deÞ cits and found that 28.5% of patients had neurovascular compression and 60.2% of patients had normal neuroradiological Þ ndings. [24] But the detection of these abnormalities is highly dependent on the MRI resolution. Using a higher resolution, venous or arterial compression can be differentiated, which may help in predicting the recurrence of TN following MVD.…”

Section: Etiologymentioning

confidence: 99%

Microvascular decompression as a surgical management for trigeminal neuralgia: A critical review of the literature

et al. 2009

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Trigeminal neuralgia (TN) is a common pain syndrome and is characterized by recurrent episodes of intense lancinating pain in one or more divisions of the trigeminal nerve. Neurovascular compression (NVC) has been considered as the main cause of TN in the root entry zone (REZ) of the trigeminal nerve in the cerebellopontine angle cistern. Microvascular decompression (MVD) is the surgical procedure of choice for the treatment of medically refractory TN. MVD has also been shown to provide pain relief even in patients without visible neurovascular compression. Additionally, it has been accepted that MVD can provide the highest rate of long-term patient satisfaction with the lowest rate of pain recurrence. We did, systematic review of the subject and also our own experiences.

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“…6,29,30 Rarely, the conflicting vessel is a petrous vein, a saccular aneurysm, a persistent trigeminal artery, or an AVM. 31,32 Recently, it has been shown that the size of the cerebellopontine cistern, as measured with MR imaging, may play a role in favoring a neurovascular conflict, because a significantly smaller volume of the cistern was found in patients who had TN on the affected side. 33 Because contact between the cisternal portion of the trigeminal nerve and a blood vessel may also be seen in asymptomatic patients, the diagnosis of a neurovascular conflict should only be made at MR imaging with caution.…”

Section: Vascular Lesionsmentioning

confidence: 99%