link
Bookmarks
Trigeminal Neuralgia
H. Ric Harnsberger, MD
To access 4,300 diagnoses written by the world's leading experts in radiology, please log in or subscribe.Log inSubscribe
0
7
9
3

KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Abbreviations

                • Trigeminal neuralgia (TN)
              • Synonyms

                • Tic douloureux, trigeminal nerve vascular loop syndrome, trigeminal nerve hyperactive dysfunction syndrome
              • Definitions

                • Vascular loop compressing trigeminal nerve at its root entry zone (REZ) or preganglionic segment (PGS)

              IMAGING

              • General Features

                • CT Findings

                  • MR Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Leal PR et al: Atrophic changes in the trigeminal nerves of patients with trigeminal neuralgia due to neurovascular compression and their association with the severity of compression and clinical outcomes. J Neurosurg. 120(6):1484-95, 2014
                                          2. Anqi X et al: MR cisternography in the posterior fossa: the evaluation of trigeminal neurovascular compression. Turk Neurosurg. 23(2):218-25, 2013
                                          3. Lee JK et al: Long-term outcome of gamma knife surgery using a retrogasserian petrous bone target for classic trigeminal neuralgia. Acta Neurochir Suppl. 116:127-35, 2013
                                          4. Garcia M et al: High-resolution 3D-constructive interference in steady-state MR imaging and 3D time-of-flight MR angiography in neurovascular compression: a comparison between 3T and 1.5T. AJNR Am J Neuroradiol. 33(7):1251-6, 2012
                                          5. Lutz J et al: Trigeminal neuralgia due to neurovascular compression: high-spatial-resolution diffusion-tensor imaging reveals microstructural neural changes. Radiology. 258(2):524-30, 2011
                                          6. Fariselli L et al: CyberKnife radiosurgery as a first treatment for idiopathic trigeminal neuralgia. Neurosurgery. 64(2 Suppl):A96-101, 2009
                                          7. Kabatas S et al: Microvascular decompression as a surgical management for trigeminal neuralgia: long-term follow-up and review of the literature. Neurosurg Rev. 32(1):87-93; discussion 93-4, 2009
                                          8. Miller JP et al: Radiographic evaluation of trigeminal neurovascular compression in patients with and without trigeminal neuralgia. J Neurosurg. 110(4):627-32, 2009
                                          9. Satoh T et al: Severity analysis of neurovascular contact in patients with trigeminal neuralgia: assessment with the inner view of the 3D MR cisternogram and angiogram fusion imaging. AJNR Am J Neuroradiol. 30(3):603-7, 2009
                                          10. Sindou M et al: Microvascular decompression for primary trigeminal neuralgia: long-term effectiveness and prognostic factors in a series of 362 consecutive patients with clear-cut neurovascular conflicts who underwent pure decompression. J Neurosurg. 107(6):1144-53, 2007
                                          11. Anderson VC et al: High-resolution three-dimensional magnetic resonance angiography and three-dimensional spoiled gradient-recalled imaging in the evaluation of neurovascular compression in patients with trigeminal neuralgia: a double-blind pilot study. Neurosurgery. 58(4):666-73; discussion 666-73, 2006
                                          12. Erbay SH et al: Nerve atrophy in severe trigeminal neuralgia: noninvasive confirmation at MR imaging--initial experience. Radiology. 238(2):689-92, 2006
                                          13. Yoshino N et al: Trigeminal neuralgia: evaluation of neuralgic manifestation and site of neurovascular compression with 3D CISS MR imaging and MR angiography. Radiology. 228(2):539-45, 2003
                                          14. Zakrzewska JM: Diagnosis and differential diagnosis of trigeminal neuralgia. Clin J Pain. 18(1):14-21, 2002
                                          15. Majoie CB et al: Trigeminal neuropathy: evaluation with MR imaging. Radiographics. 15(4):795-811, 1995
                                          16. Darlow LA et al: Magnetic resonance imaging in the diagnosis of trigeminal neuralgia. J Oral Maxillofac Surg. 50(6):621-6, 1992
                                          17. Hutchins LG et al: Trigeminal neuralgia (tic douloureux): MR imaging assessment. Radiology. 175(3):837-41, 1990
                                          Related Anatomy
                                          Loading...
                                          Related Differential Diagnoses
                                          Loading...
                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Pathology

                                                  • Clinical Issues

                                                    • Diagnostic Checklist

                                                      TERMINOLOGY

                                                      • Abbreviations

                                                        • Trigeminal neuralgia (TN)
                                                      • Synonyms

                                                        • Tic douloureux, trigeminal nerve vascular loop syndrome, trigeminal nerve hyperactive dysfunction syndrome
                                                      • Definitions

                                                        • Vascular loop compressing trigeminal nerve at its root entry zone (REZ) or preganglionic segment (PGS)

                                                      IMAGING

                                                      • General Features

                                                        • CT Findings

                                                          • MR Findings

                                                            • Imaging Recommendations

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  • Gross Pathologic & Surgical Features

                                                                    • Microscopic Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Leal PR et al: Atrophic changes in the trigeminal nerves of patients with trigeminal neuralgia due to neurovascular compression and their association with the severity of compression and clinical outcomes. J Neurosurg. 120(6):1484-95, 2014
                                                                                  2. Anqi X et al: MR cisternography in the posterior fossa: the evaluation of trigeminal neurovascular compression. Turk Neurosurg. 23(2):218-25, 2013
                                                                                  3. Lee JK et al: Long-term outcome of gamma knife surgery using a retrogasserian petrous bone target for classic trigeminal neuralgia. Acta Neurochir Suppl. 116:127-35, 2013
                                                                                  4. Garcia M et al: High-resolution 3D-constructive interference in steady-state MR imaging and 3D time-of-flight MR angiography in neurovascular compression: a comparison between 3T and 1.5T. AJNR Am J Neuroradiol. 33(7):1251-6, 2012
                                                                                  5. Lutz J et al: Trigeminal neuralgia due to neurovascular compression: high-spatial-resolution diffusion-tensor imaging reveals microstructural neural changes. Radiology. 258(2):524-30, 2011
                                                                                  6. Fariselli L et al: CyberKnife radiosurgery as a first treatment for idiopathic trigeminal neuralgia. Neurosurgery. 64(2 Suppl):A96-101, 2009
                                                                                  7. Kabatas S et al: Microvascular decompression as a surgical management for trigeminal neuralgia: long-term follow-up and review of the literature. Neurosurg Rev. 32(1):87-93; discussion 93-4, 2009
                                                                                  8. Miller JP et al: Radiographic evaluation of trigeminal neurovascular compression in patients with and without trigeminal neuralgia. J Neurosurg. 110(4):627-32, 2009
                                                                                  9. Satoh T et al: Severity analysis of neurovascular contact in patients with trigeminal neuralgia: assessment with the inner view of the 3D MR cisternogram and angiogram fusion imaging. AJNR Am J Neuroradiol. 30(3):603-7, 2009
                                                                                  10. Sindou M et al: Microvascular decompression for primary trigeminal neuralgia: long-term effectiveness and prognostic factors in a series of 362 consecutive patients with clear-cut neurovascular conflicts who underwent pure decompression. J Neurosurg. 107(6):1144-53, 2007
                                                                                  11. Anderson VC et al: High-resolution three-dimensional magnetic resonance angiography and three-dimensional spoiled gradient-recalled imaging in the evaluation of neurovascular compression in patients with trigeminal neuralgia: a double-blind pilot study. Neurosurgery. 58(4):666-73; discussion 666-73, 2006
                                                                                  12. Erbay SH et al: Nerve atrophy in severe trigeminal neuralgia: noninvasive confirmation at MR imaging--initial experience. Radiology. 238(2):689-92, 2006
                                                                                  13. Yoshino N et al: Trigeminal neuralgia: evaluation of neuralgic manifestation and site of neurovascular compression with 3D CISS MR imaging and MR angiography. Radiology. 228(2):539-45, 2003
                                                                                  14. Zakrzewska JM: Diagnosis and differential diagnosis of trigeminal neuralgia. Clin J Pain. 18(1):14-21, 2002
                                                                                  15. Majoie CB et al: Trigeminal neuropathy: evaluation with MR imaging. Radiographics. 15(4):795-811, 1995
                                                                                  16. Darlow LA et al: Magnetic resonance imaging in the diagnosis of trigeminal neuralgia. J Oral Maxillofac Surg. 50(6):621-6, 1992
                                                                                  17. Hutchins LG et al: Trigeminal neuralgia (tic douloureux): MR imaging assessment. Radiology. 175(3):837-41, 1990