Trigeminal Neuralgia: Current Approaches and Emerging Interventions

Xu, Risheng; Xie, Michael E.; Jackson, Christopher M.

doi:10.2147/jpr.s331036

Cited by 52 publications

(64 citation statements)

References 270 publications

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“…The main principle of radiofrequency (RF) therapy is to destroy the nerve at high temperature to block the pain signal transmission (RFT) or to modulate the nerve function of the trigeminal nerve at low temperature (PRF) ( 29 ). The RF treatment is similarly effective to MVD ( 30 ). The control of temperature during RF remains a key concern; researchers believe that RFT at 68–75°C results in better relief rates and fewer complications ( 31 , 32 ).…”

Section: Discussionmentioning

confidence: 99%

Global Trends and Hotspots in Trigeminal Neuralgia Research From 2001 to 2021: A Bibliometric Analysis

Zhu

Xiang

et al. 2022

Front. Neurol.

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BackgroundIn recent years, there have been an increasing number of studies on trigeminal neuralgia (TN). However, a scientific and comprehensive study of the current situation and trends in the field of TN research is lacking. The purpose of this study is to summarize and visualize the development, research hotspots, and future trends in TN based on a bibliometric approach.MethodsStudies on TN published from 2001 to 2021 were obtained from the Web of Science Core Collection (WoSCC). Bibliometrics, CiteSpace, and VOSviewer tools were used for bibliometric analysis and visualization.ResultsIn total, 4,112 documents were searched. The number of research articles in the field is generally on an upward trend, with the fastest growth in the number of articles from 2017 to 2020. Shanghai Jiao Tong University, Pittsburgh University, and Mayo Clinic are the three institutions with the most publications. Shiting Li and Zakrzewska JM are the most prolific author and top co-cited authors, respectively. The Journal of Neurosurgery is the most influential journal. The top 5 keywords in that time frame are TN, microvascular decompression, facial pain, stereotactic radiosurgery, and neuropathic pain.ConclusionThis is the first comprehensive scientific bibliometric analysis of the global research field on TN over the past 21 years, providing a meaningful reference for further exploration of topical issues and research trends in the field.

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Section: Discussionmentioning

confidence: 99%

Global Trends and Hotspots in Trigeminal Neuralgia Research From 2001 to 2021: A Bibliometric Analysis

Zhu

Xiang

et al. 2022

Front. Neurol.

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“…Injections for neurogenic detrusor overactivity have a lasting efficacy up to 9 months. [63][64][65][66] When available to patients, early consultations with urologists and rehabilitation specialists for these injections may avoid or minimize the CNS side effects of antimuscarinics, alpha-blockers, muscle relaxants, and antiseizure medications otherwise prescribed for neurogenic bladders and muscle spasticity. 67,68 When referring patients for onabotulinumtoxinA, it is important to clearly communicate goals of minimizing oral agents.…”

Section: Commentmentioning

confidence: 99%

Approach to Symptom Management in Multiple Sclerosis With a Focus on Wellness

Spain¹

2022

CONTINUUM: Lifelong Learning in Neurology

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PURPOSE OF REVIEW: This article describes an approach to symptom management in people with multiple sclerosis (MS), emphasizing healthy lifestyles and evidence-based treatments.RECENT FINDINGS: Growing evidence supports healthy nutrition, exercise, and emotional well-being (wellness) as foundational for MS symptom management. A stepped approach starts with healthy lifestyle practices and adds nonpharmacologic, pharmacologic, and procedural-based therapies balancing levels of evidence, risks, and potential benefits. The growing availability of cannabis and widespread use of dietary supplements in self-management of MS symptoms raise both therapeutic promises and challenges. SUMMARY: Wellness approaches for MS symptom management foster self-reliance and should be reinforced early and often. Recognition of symptom clusters and medical comorbidities helps limit polypharmacy.

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“…Although it is generally accepted that microvascular decompression is the preferred surgical treatment for PTN (success rate 62%–89%) ( 9 ), PBC remains a popular treatment, especially for some elderly patients or patients with postoperative recurrence ( 10 ). However, facial numbness, masseter weakness, herpes zoster and other complications often occur after PBC ( 11 , 12 ), and severe complications, such as foramen ovale (FO) puncture failure, and even rupture of the internal carotid artery may occur. Therefore, correct puncture and successful balloon compression are crucial.…”

Section: Introductionmentioning

confidence: 99%

Combination of Preoperative Multimodal Image Fusion and Intraoperative Dyna CT in Percutaneous Balloon Compression of Trigeminal Ganglion for Primary Trigeminal Neuralgia: Experience in 24 Patients

Liao

et al. 2022

Front. Surg.

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ObjectiveWe retrospectively assessed the surgical results of PBC with preoperative multimodal image fusion and intraoperative Dyna Computed Tomography (CT) in 24 patients with primary trigeminal neuralgia (PTN) to explore a valuable aid for Percutaneous balloon compression (PBC).MethodsWe studied the data of 24 patients with PTN. All patients underwent PBC and were assessed with preoperative multimodal image fusion [computed tomography (CT) and magnetic resonance imaging (MRI)] and intraoperative Dyna CT in the Department of Neurosurgery of Zhuhai People’s Hospital between October 2020 and September 2021. Multimodal image fusion—three-dimensional (3D) reconstruction of CT and MRI data—was performed using 3D-Slicer software, and preoperative evaluation was performed according to the results of image fusion. Dyna CT was used to dynamically observe the position and shape of the metallic hollow introducer and Fogarty catheter and balloon during the operation to guide the operation in real time. We performed follow-up assessments each month and summarized the clinical characteristics, surgical effects, and complications in all patients.ResultsSurgery was successful for all patients; the patients reported immediate pain relief. Surgical complications included facial numbness in 24 patients (100%), mild masseter weakness in three (12.5%), herpes zoster in three (12.5%), and balloon rupture in one (4.2%). None of the patients had serious surgical complications. The mean follow-up time was 9.6 ± 2.7 months. During the follow-up period, 22 patients (91.7%) experienced no recurrence of pain, and two patients (8.3%) experienced recurrence of pain, of which one underwent secondary PBC surgery.ConclusionsPreoperative multimodal image reconstruction can help fully evaluate PBC surgery, clarify the etiology, and predict the volume of contrast medium required during the operation. It provided important assistance for PBC treatment of trigeminal neuralgia patients when preoperative multimodal image fusion is combined with intraoperative Dyna CT.

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Trigeminal Neuralgia: Current Approaches and Emerging Interventions

Cited by 52 publications

References 270 publications

Global Trends and Hotspots in Trigeminal Neuralgia Research From 2001 to 2021: A Bibliometric Analysis

Global Trends and Hotspots in Trigeminal Neuralgia Research From 2001 to 2021: A Bibliometric Analysis

Approach to Symptom Management in Multiple Sclerosis With a Focus on Wellness

Combination of Preoperative Multimodal Image Fusion and Intraoperative Dyna CT in Percutaneous Balloon Compression of Trigeminal Ganglion for Primary Trigeminal Neuralgia: Experience in 24 Patients

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