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Neurological Sciences

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Open Access 01-10-2020 | Endoscopy | Original Article

Sensitivity of magnetic resonance tomographic angiography for detecting the degree of neurovascular compression in trigeminal neuralgia

Authors: Yun-bo Hao, Wei-jie Zhang, Min-jie Chen, Ying Chai, Wen-hao Zhang, Wen-bin Wei

Published in: Neurological Sciences | Issue 10/2020

Abstract

Purpose

Neurovascular compression (NVC) is hypothesized to be the main pathogenic factor of trigeminal neuralgia (TN). Microvascular decompression (MVD) has become a popular surgery for TN, and the success rate depends on the degree of NVC. As the routine examination before MVD, magnetic resonance tomographic angiography (MRTA) shows high sensitivity for detecting NVC. However, there are no reports on the sensitivity of MRTA for assessing the degree of NVC.

Methods

This study aimed to evaluate the sensitivity of MRTA for determining the degree of NVC by comparing preoperative MRTA and intraoperative endoscopy findings. A total of 480 patients who suffered from TN and underwent MVD were included. Their preoperative MRTA and intraoperative endoscopy findings were reviewed. The kappa test was used to identify similarities between the MRTA and endoscopy findings.

Results

The degree of NVC on preoperative MRTA was similar to that on endoscopy (kappa = 0.770). The number of offending vessels according to preoperative MRTA was coincident with that according to endoscopy (kappa = 0.722).

Conclusion

MRTA had high sensitivity for detecting not only the presence of NVC but also the degree of NVC.

Gardner WJ, Miklos MV (1959) Response of trigeminal neuralgia to decompression of sensory root; discussion of cause of trigeminal neuralgia. J Am Med Assoc 170:1773–1776. https://doi.org/10.1001/jama.1959.03010150017004CrossRefPubMed

Zhong J, Zhu J, Sun H, Dou NN, Wang YN, Ying TT, Xia L, Liu MX, Tao BB, Li ST (2014) Microvascular decompression surgery: surgical principles and technical nuances based on 4000 cases. Neurol Res 36(10):882–893. https://doi.org/10.1179/1743132814Y.0000000344CrossRefPubMed

Barker FG, Jannetta PJ, Bissonette DJ, Larkins MV, Jho HD (1996) The long-term outcome of microvascular decompression for trigeminal neuralgia. J N Engl J Med 334:1077–1083. https://doi.org/10.1056/NEJM199604253341701CrossRef

Jito J, Nozaki K (2016) Trigeminal neuralgia attributable to intraneural trigeminocerebellar artery: case report and review of the literature. World Neurosurg 88(687):e687–e611. https://doi.org/10.1016/j.wneu.2015.11.059CrossRef

Sarsam Z, Garcia-Fiñana M, Nurmikko TJ, Varma TRK, Eldridge P (2010) The long-term outcome of microvascular decompression for trigeminal neuralgia. Br J Neurosurg 24(1):18–25. https://doi.org/10.3109/02688690903370289CrossRefPubMed

Lorenzoni J, David P, Levivier M (2012) Patterns of neurovascular compression in patients with classic trigeminal neuralgia: a high-resolution MRI-based study. Eur J Radiol 81(8):1851–1857. https://doi.org/10.1016/j.ejrad.2009.09.017CrossRefPubMed

Chai Y, Chen M, Zhang W, Zhang W (2013) Predicting the outcome of microvascular decompression for primary trigeminal neuralgia by the use of magnetic resonance tomographic angiography. J Craniofac Surg 24(5):1699–1702. https://doi.org/10.1097/SCS.0b013e3182801b64CrossRefPubMed

Chen MJ, Zhang WJ, Yang C, Wu YQ, Zhang ZY, Wang Y (2008) Endoscopic neurovascular perspective in microvascular decompression of trigeminal neuralgia. J Craniomaxillofac Surg 36(8):456–461. https://doi.org/10.1016/j.jcms.2008.05.002CrossRefPubMed

Berk C (2001) Bilateral trigeminal neuralgia: a therapeutic dilemma. Br J Neurosurg 15:198PubMed

10.

Sindou M, Leston J, Decullier E, Chapuis F (2007) 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):1144–1153. https://doi.org/10.3171/JNS-07/12/1144CrossRefPubMed

11.

Meaney JF, Eldridge PR, Dunn LT, Nixon TE, Whitehouse GH, Miles JB (1995) Demonstration of neurovascular compression in trigeminal neuralgia with magnetic resonance imaging. Comparison with surgical findings in 52 consecutive operative cases. J Neurosurg 83:799–805. https://doi.org/10.3171/jns.1995.83.5.0799CrossRefPubMed

12.

Xia L, Zhong J, Zhu J, Wang YN, Dou NN, Liu MX, Visocchi M, Li ST (2014) Effectiveness and safety of microvascular decompression surgery for treatment of trigeminal neuralgia: a systematic review. J Craniofac Surg 25(4):1413–1417. https://doi.org/10.1097/SCS.0000000000000984CrossRefPubMed

13.

Landis JR, Koch GG (1977) The measurement of observer agreement for categorical data. Biometrics 33:159–174. https://doi.org/10.2307/2529310CrossRefPubMed

14.

Anderson VC, Berryhill PC, Sandquist MA, Ciaverella DP, Nesbit GM, Burchiel KJ (2006) 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):666–673; discussion 666-673. https://doi.org/10.1227/01.NEU.0000197117.34888.DECrossRefPubMed

15.

Leal PR, Hermier M, Froment JC, Souza MA, Cristino-Filho G, Sindou M (2010) Preoperative demonstration of the neurovascular compression characteristics with special emphasis on the degree of compression, using high-resolution magnetic resonance imaging: a prospective study, with comparison to surgical findings, in 100 consecutive patients who underwent microvascular decompression for trigeminal neuralgia. Acta Neurochir 152(5):817–825. https://doi.org/10.1007/s00701-009-0588-7CrossRefPubMed

16.

Jo KW, Kong DS, Hong KS, Lee JA, Park K (2013) Long-term prognostic factors for microvascular decompression for trigeminal neuralgia. J Clin Neurosci 20(3):440–445. https://doi.org/10.1016/j.jocn.2012.03.037CrossRefPubMed

17.

Zhang W, Chen M, Zhang W, Chai Y (2014) Etiologic exploration of magnetic resonance tomographic angiography negative trigeminal neuralgia. J Clin Neurosci 21(8):1349–1354. https://doi.org/10.1016/j.jocn.2013.11.019CrossRefPubMed

18.

Leal PR, Froment JC, Sindou M (2009) Predictive value of MRI for detecting and characterizing vascular compression in cranial nerve hyperactivity syndromes (trigeminal and facial nerves). Neurochirurgie 55(2):174–180. https://doi.org/10.1016/j.neuchi.2009.01.007CrossRefPubMed

19.

Boecher-Schwarz HG, Bruehl K, Kessel G, Guenthner M, Perneczky A, Stoeter P (1998) Sensitivity and specificity of MRA in the diagnosis of neurovascular compression in patients with trigeminal neuralgia. Neuroradiology 40:88–95. https://doi.org/10.1007/s002340050546CrossRefPubMed

20.

Chen MJ, Zhang WJ, Guo ZL, Yang C, Zhang WH, Dong MJ, Chai Y, Zhang ZY (2014) Preoperative evaluation of the neurovascular compression using magnetic resonance tomographic angiography: our radiologic indications for microvascular decompression to treat trigeminal neuralgia. J Craniofac Surg 25(4):e384–e388. https://doi.org/10.1097/SCS.0000000000000969CrossRefPubMed

21.

Helbig GM, Callahan JD, Cohen-Gadol AA (2009) Variant intraneural vein-trigeminal nerve relationships: an observation during microvascular decompression surgery for trigeminal neuralgia. Neurosurgery 65(5):958–961; discussion 961. https://doi.org/10.1227/01.NEU.0000351757.29658.C0CrossRefPubMed

22.

Umehara F, Kamishima K, Kashio N, Yamaguchi K, Sakimoto T, Osame M (1995) Magnetic resonance tomographic angiography: diagnostic value in trigeminal neuralgia. Neuroradiology 37:353–355. https://doi.org/10.1007/bf00588010CrossRefPubMed

Title: Sensitivity of magnetic resonance tomographic angiography for detecting the degree of neurovascular compression in trigeminal neuralgia
Authors: Yun-bo Hao
Wei-jie Zhang
Min-jie Chen
Ying Chai
Wen-hao Zhang
Wen-bin Wei
Publication date: 01-10-2020
Publisher: Springer International Publishing
Keywords: Endoscopy
Angiography
Trigeminal Neuralgia
Published in: Neurological Sciences / Issue 10/2020
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI: https://doi.org/10.1007/s10072-020-04419-0

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Sensitivity of magnetic resonance tomographic angiography for detecting the degree of neurovascular compression in trigeminal neuralgia

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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