Evidence map›Paper›PMID 25750533›Full record

ReviewTherapeutics and clinical risk management2015

Advances in diagnosis and treatment of trigeminal neuralgia.

Nicola Montano, Giulio Conforti, Rina Di Bonaventura, Mario Meglio, Eduardo Fernandez, Fabio Papacci

2 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in Therapeutics and clinical risk management, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 83 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 8 pooled it
8.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03580317 nacompletednot on this mapstarted 2018, after this paper: background citation

Electroacupuncture Therapy for Change of Pain in Classical Trigeminal Neuralgia

TypeinterventionalSponsorZhejiang Chinese Medical UniversityRan2018 to 2021Enrolled120ConditionsTrigeminal NeuralgiaArmsEA+ Carbamazepine, EA+Placebo, sham EA+Carbamazepine, sham EA+Placebo
NCT04923399 unknown statusnot on this mapstarted 2021, after this paper: background citation

Transcriptome Sequencing Analysis of Whole Blood From Patients With Trigeminal Neuralgia: An Observational Study

Typeobservational_patient_registrySponsorPeking University People's HospitalRan2021 to 2023Enrolled20ConditionsTrigeminal Neuralgia, Blood, Plasma, Cerebrospinal Fluid
3 · Its place in the literature

Who cites it

83 citing papers in PubMed, 8 syntheses or guidelines pooled it, 206 citations in OpenAlex.

  1. Pooled it
  2. When the nerve keeps firing: an institutional experience and systematic review on delayed response after microvascular decompression for trigeminal neuralgia.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
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  9. Article
  10. Endoscopic transnasal sphenopalatine ganglion block for chronic craniofacial pain.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
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  13. Wrap technique for idiopathic trigeminal neuralgia: patient series.Journal of neurosurgery. Case lessons · 2025
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  20. Observational

23 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Nicola MontanoInstitute of Neurosurgery, Catholic University, Rome.
Giulio ConfortiInstitute of Neurosurgery, Catholic University, Rome.
Rina Di BonaventuraInstitute of Neurosurgery, Catholic University, Rome.
Mario MeglioInstitute of Neurosurgery, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.
Eduardo FernandezInstitute of Neurosurgery, Catholic University, Rome.
Fabio PapacciInstitute of Neurosurgery, Catholic University, Rome.
Catholic University of America · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Various drugs and surgical procedures have been utilized for the treatment of trigeminal neuralgia (TN). Despite numerous available approaches, the results are not completely satisfying. The need for more contemporaneous drugs to control the pain attacks is a common experience. Moreover, a number of patients become drug resistant, needing a surgical procedure to treat the neuralgia. Nonetheless, pain recurrence after one or more surgical operations is also frequently seen. These facts reflect the lack of the precise understanding of the TN pathogenesis. Classically, it has been related to a neurovascular compression at the trigeminal nerve root entry-zone in the prepontine cistern. However, it has been evidenced that in the pain onset and recurrence, various neurophysiological mechanisms other than the neurovascular conflict are involved. Recently, the introduction of new magnetic resonance techniques, such as voxel-based morphometry, diffusion tensor imaging, three-dimensional time-of-flight magnetic resonance angiography, and fluid attenuated inversion recovery sequences, has provided new insight about the TN pathogenesis. Some of these new sequences have also been used to better preoperatively evidence the neurovascular conflict in the surgical planning of microvascular decompression. Moreover, the endoscopy (during microvascular decompression) and the intraoperative computed tomography with integrated neuronavigation (during percutaneous procedures) have been recently introduced in the challenging cases. In the last few years, efforts have been made in order to better define the optimal target when performing the gamma knife radiosurgery. Moreover, some authors have also evidenced that neurostimulation might represent an opportunity in TN refractory to other surgical treatments. The aim of this work was to review the recent literature about the pathogenesis, diagnosis, and medical and surgical treatments, and discuss the significant advances in all these fields.

Indexed as

gamma knife radiosurgerymagnetic resonance imagingmicrovascular decompressionpercutaneous balloon compressionsurgical treatmenttherapy

Identifiers

PMID25750533
PMCPMC4348120
OpenAlexW1991378036

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.