IMAGING EVALUATION OF TRIGEMINAL NEURALGIA

Trigeminal neuralgia is a debilitating pain syndrome in the sensory distribution of the trigeminal nerve. Compression of the cisternal segment of the trigeminal nerve by a vessel, usually an artery, is considered the most common cause of trigeminal neuralgia. A number of additional lesions may affect the trigeminal nerve anywhere along its course from the trigeminal nuclei to the most peripheral branches to cause facial pain. Relevant differential considerations are reviewed starting proximally at the level of the brainstem.

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  • Love S, Coakham HB. Trigeminal neuralgia: Pathology and pathogenesis. Brain 2001;124(Pt 12):2347-2360.
  • Borges A, Casselman J. Imaging the trigeminal nerve. Eur J Radiol 2010;74(2):323-340
  • Bathla G, Hegde AN. The trigeminal nerve: An illustrated review of its imaging anatomy and pathology. Clin Radiol 2013;68(2):203-213.
  • Yousry I, Moriggl B, Holtmannspoetter M, Schmid UD, Naidich TP, Yousry TA. Detailed anatomy of the motor and sensory roots of the trigeminal nerve and their neurovascular relationships: A magnetic resonance imaging study. J Neurosurg 2004;101(3):427-434.
  • Yousry I, Moriggl B, Schmid UD, Naidich TP, Yousry TA. Trigeminal ganglion and its divisions: Detailed anatomic mr imaging with contrast-enhanced 3d constructive interference in the steady state sequences. AJNR Am J Neuroradiol 2005;26(5):1128-1135.
  • Donahue JH, Ornan DA, Mukherjee S. Imaging of vascular compression syndromes. Radiol Clin North Am 2017;55(1):123-138.
  • Seeburg DP, Northcutt B, Aygun N, Blitz AM. The role of imaging for trigeminal neuralgia: A segmental approach to high-resolution mri. Neurosurg Clin N Am 2016;27(3):315-326.
  • Panczykowski DM, Frederickson AM, Hughes MA, Oskin JE, Stevens DR, Sekula RF, Jr. A blinded, case-control trial assessing the value of steady state free precession magnetic resonance imaging in the diagnosis of trigeminal neuralgia. World Neurosurg 2016;89:427-433.
  • Hughes MA, Frederickson AM, Branstetter BF, Zhu X, Sekula RF, Jr. Mri of the trigeminal nerve in patients with trigeminal neuralgia secondary to vascular compression. AJR Am J Roentgenol 2016;206(3):595-600.
  • Sindou M, Howeidy T, Acevedo G. Anatomical observations during microvascular decompression for idiopathic trigeminal neuralgia (with correlations between topography of pain and site of the neurovascular conflict). Prospective study in a series of 579 patients. Acta Neurochir (Wien) 2002;144(1):1-12
  • Hong W, Zheng X, Wu Z, Li X, Wang X, Li Y, Zhang W, Zhong J, Hua X, Li S. Clinical features and surgical treatment of trigeminal neuralgia caused solely by venous compression. Acta Neurochir (Wien) 2011;153(5):1037-1042.
  • Becker M, Kohler R, Vargas MI, Viallon M, Delavelle J. Pathology of the trigeminal nerve. Neuroimaging Clin N Am 2008;18(2):283-307, x.
  • van Hecke O, Austin SK, Khan RA, Smith BH, Torrance N. Neuropathic pain in the general population: A systematic review of epidemiological studies. Pain 2014;155(4):654-662.
  • Prasad S, Galetta S. Trigeminal neuralgia: Historical notes and current concepts. Neurologist 2009;15(2):87-94.
  • Majoie CB, Verbeeten B, Jr., Dol JA, Peeters FL. Trigeminal neuropathy: Evaluation with mr imaging. Radiographics 1995;15(4):795-811.
  • Hung CW, Wang SJ, Chen SP, Lirng JF, Fuh JL. Trigeminal herpes zoster and ramsay hunt syndrome with a lesion in the spinal trigeminal nucleus and tract. J Neurol 2010;257(6):1045-1046.
  • Kontzialis M, Zamora CA. Mri of trigeminal zoster. Arq Neuropsiquiatr 2015;73(11):976.
  • MacNally SP, Rutherford SA, Ramsden RT, Evans DG, King AT. Trigeminal schwannomas. Br J Neurosurg 2008;22(6):729-738.
  • Furtado SV, Hegde AS. Trigeminal neuralgia due to a small meckel's cave epidermoid tumor: Surgery using an extradural corridor. Skull Base 2009;19(5):353-357.
  • Delfini R, Innocenzi G, Ciappetta P, Domenicucci M, Cantore G. Meningiomas of meckel's cave. Neurosurgery 1992;31(6):1000-1006; discussion 1006-1007.
  • Kontzialis M, Choudhri AF, Patel VR, Subramanian PS, Ishii M, Gallia GL, Aygun N, Blitz AM. High-resolution 3d magnetic resonance imaging of the sixth cranial nerve: Anatomic and pathologic considerations by segment. J Neuroophthalmol 2015;35(4):412-425.
  • Kontzialis M, Glastonbury CM, Aygun N. Evaluation: Imaging studies. Adv Otorhinolaryngol 2016;78:25-38.