Top

Published in:

01-06-2009 | Technique Evaluation

The MRI volumetry of the posterior fossa and its substructures in trigeminal neuralgia: a validated study

Authors: D. Hořínek, V. Brezová, C. Nimsky, T. Belšan, L. Martinkovič, V. Masopust, J. Vrána, P. Kozler, J. Plas, D. Krýsl, A. Varjassyová, Y. Ghaly, V. Beneš

Published in: Acta Neurochirurgica | Issue 6/2009

Abstract

Purpose

Our aim was to determine whether the anatomical configuration of the posterior fossa and its substructures might represent a predisposition factor for the occurrence of clinical neurovascular conflict in trigeminal neuralgia (TN).

Methods

We used MRI volumetry in 18 patients with TN and 15 controls. The volume of the pontomesencephalic cistern, Meckel’s cave and the trigeminal nerve on the clinical and non-affected sides was compared. The reliability has been assessed in all measurements.

Results

The posterior fossa volume was not different in the clinical and control groups; there was no difference between the affected and non-affected sides when measuring the pontomesencephalic cistern and Meckel’s cave volume either. The volume of the clinically affected trigeminal nerve was significantly reduced, but with a higher error of measurement.

Conclusions

We did not find any association between the clinical neurovascular conflict (NVC) and the size of the posterior fossa and its substructures. MRI volumetry may show the atrophy of the affected trigeminal nerve in clinical NVC.

Adamczyk M, Bulski T, Sowińska J, Furmanek A, Bekiesińska-Figatowska M (2007) Trigeminal nerve—artery contact in people without trigeminal neuralgia—MR study. Med Sci Monit 13:38–43PubMed

Benes L, Shiratori K, Gurschi M, Sure U, Tirakotai W, Krischek B et al (2005) Is preoperative high-resolution magnetic resonance imaging accurate in predicting neurovascular compression in patients with trigeminal neuralgia? Neurosurg Rev 28:131–136. doi:10.1007/s10143-004-0372-3 PubMedCrossRef

Buskova J, Vaneckova M, Sonka K, Seidl Z, Nevsimalova S (2006) Reduced hypothalamic gray matter in narcolepsy with cataplexy. Neuroendocrinol Lett 27:769–772PubMed

Gardner WJ, Dohn DF (1966) Trigeminal neuralgia-hemifacial spasm—Paget’s disease: significance of this association. Brain 3:555–562. doi:10.1093/brain/89.3.555 CrossRef

Gnanalingham K, Joshi SM, Lopez B, Ellamushi H, Hamlyn P (2005) Trigeminal neuralgia secondary to Chiari’s malformation—treatment with ventriculoperitoneal shunt. Surg Neurol 63:586–588. doi:10.1016/j.surneu.2004.06.021 PubMedCrossRef

Hampel H, Teipel SJ, Bayer W, Alexander GE, Schwarz R, Schapiro MB et al (2002) Age transformation of combined hippocampus and amygdala volume improves diagnostic accuracy in Alzheimer’s disease. J Neurol Sci 194:15–19. doi:10.1016/S0022-510X(01)00669-4 PubMedCrossRef

Headache Classification Committee of the International Headache Society (2004) The International Classification of Headache Disorders, 2nd edn. Cephalalgia 24:126–135

Jannetta PJ (1967) Arterial compression of the trigeminal nerve at the pons in patients with trigeminal neuralgia. J Neurosurg 26:159–162PubMedCrossRef

Kerr FW (1967) Pathology of trigeminal neuralgia: light and electron microscopic observations. J Neurosurg 26:151–156PubMedCrossRef

10.

Korf ES, White LR, Scheltens P, Launer LJ (2004) Midlife blood pressure and the risk of hippocampal atrophy. The Honolulu Asia Aging Study. Hypertension 44:29–34. doi:10.1161/01.HYP.0000132475.32317.bb PubMedCrossRef

11.

Kress B, Schindler M, Rasche D, Hähnel S, Tronnier V, Sartor K et al (2005) MRI volumetry for the preoperative diagnosis of trigeminal neuralgia. Eur Radiol 15:1344–1348. doi:10.1007/s00330-005-2674-4 PubMedCrossRef

12.

Love S, Coakham HB (2001) Trigeminal neuralgia: pathology and pathogenesis. Brain 124:2347–2360. doi:10.1093/brain/124.12.2347 PubMedCrossRef

13.

Masopust V, Netuka D, Plas J, Brabec V (2002) Neurovascular conflict—the posterior fossa size. Ces Slov Neurol Neurochir 65:160–163

14.

Masur H, Papke K, Bongartz G, Vollbrecht K (1995) The significance of three-dimensional MR-defined neurovascular compression for the pathogenesis of trigeminal neuralgia. J Neurol 242:93–98. doi:10.1007/BF00887823 PubMedCrossRef

15.

McLaughlin MR, Jannetta PJ, Clyde BL, Subach BR, Comey CH, Resnick DK (1999) Microvascular decompression of cranial nerves: lessons learned after 4400 operations. J Neurosurg 90:1–8PubMedCrossRef

16.

Mueller HR, Levy A (1963) On the pathogenesis of trigeminal neuralgia: study of mechanical factors by means of craniometry. Acta Neurochir (Wien) 11:385–397. doi:10.1007/BF01404416 CrossRef

17.

Nageseki Y, Horikoshi T, Omata T (1972) Oblique sagittal resonance imaging visualising vascular compression of the trigeminal and facial nerves. J Neurosurg 77:379–386

18.

Obrador S, Queimadelos VG, Soto M (1970) Trigeminal neuralgia secondary to asymmetry of the petrous bone: case report. J Neurosurg 33:596–598PubMedCrossRef

19.

Patel NK, Aquilina K, Clarke Y, Renowden SA, Coakham HB (2003) How accurate is magnetic resonance angiography in predicting neurovascular compression in patients with trigeminal neuralgia? A prospective, single-blinded comparative study. Br J Neurosurg 17:60–64. doi:10.1080/0268869031000093735 PubMedCrossRef

20.

Rasche D, Kress B, Stippich C, Nennig E, Sartor K, Tronnier VM (2006) Volumetric measurement of the pontomesencephalic cistern in patients with trigeminal neuralgia and healthy controls. Neurosurgery 59:614–620. doi:10.1227/01.NEU.0000228924.20750.D4 PubMedCrossRef

21.

Sindou M, Howeidy T, Acevedo G (2002) 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) 144:1–12. doi:10.1007/s701-002-8269-4 CrossRef

22.

Takada Y, Morimoto T, Sugawara T, Ohno K (2001) Trigeminal neuralgia associated with achondroplasia: case report with literature review. Acta Neurochir (Wien) 143:1173–1176. doi:10.1007/s007010100010 CrossRef

23.

Yushkevich PA, Piven J, Hazlett HC, Smith RG, Ho S, Gee JC et al (2006) User-guided 3D active contour segmentation of anatomical structures: significantly improved efficiency and reliability. Neuroimage 31:1116–1128. doi:10.1016/j.neuroimage.2006.01.015 PubMedCrossRef

Title: The MRI volumetry of the posterior fossa and its substructures in trigeminal neuralgia: a validated study
Authors: D. Hořínek
V. Brezová
C. Nimsky
T. Belšan
L. Martinkovič
V. Masopust
J. Vrána
P. Kozler
J. Plas
D. Krýsl
A. Varjassyová
Y. Ghaly
V. Beneš
Publication date: 01-06-2009
Publisher: Springer Vienna
Published in: Acta Neurochirurgica / Issue 6/2009
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-009-0283-8

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

The MRI volumetry of the posterior fossa and its substructures in trigeminal neuralgia: a validated study

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 6/2009

Transorbital penetrating head injury by a toilet brush handle

Cranial epidural hydatid cysts: Clinical report and review of the literature

Ventriculoperitoneal shunt migration into the pulmonary artery

Gravitational valves in supine patients with ventriculo-peritoneal shunts

A report on neurosurgical workforce in the countries of the EU and associated states

Multiple intradural extramedullary tumours presenting with paraplegia after trauma