Evidence map›Paper›PMID 30086682›Full record

Trial reportCephalalgia : an international journal of headache2019

Correlation between nerve atrophy, brain grey matter volume and pain severity in patients with primary trigeminal neuralgia.

Yuan Wang, Qian Yang, Dongyuan Cao, David Seminowicz, Bethany Remeniuk, Lin Gao, Ming Zhang

Registry-linked trialOpen access · greenAbstract readClinical Trial
In one paragraph

Trial report in Cephalalgia : an international journal of headache, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02713646 (Applied Research on Patients With Trigeminal Neuralgia by Multi-planar Reconstruction, Curved Planar Reconstruction and Magnetic Resonance Virtual Endoscopy), which is not on this map. Cited by 39 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 3 pooled it
3.2field-weighted citation impact, top 8% 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.

NCT02713646 completednot on this map

Applied Research on Patients With Trigeminal Neuralgia by Multi-planar Reconstruction, Curved Planar Reconstruction and Magnetic Resonance Virtual Endoscopy

TypeobservationalSponsorFirst Affiliated Hospital Xi'an Jiaotong UniversityRan2016 to 2020Enrolled55ConditionsTrigeminal Neuralgia
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 3 syntheses or guidelines pooled it, 66 citations in OpenAlex.

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  6. Abnormalities of cortical morphology and structural covariance network in the patients with primary trigeminal neuralgia: a preliminary clinical study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Observational
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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

7 authors at 3 institutions in 2 countries.

Yuan Wang1 Department of Medical Imaging, First affiliated hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.ORCID 0000-0002-5692-2659
Qian Yang1 Department of Medical Imaging, First affiliated hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Dongyuan Cao2 Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, Stomatological Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.
David Seminowicz3 Department of Neural and Pain Sciences, School of Dentistry, University of Maryland Baltimore, Baltimore, MD, USA.
Bethany Remeniuk3 Department of Neural and Pain Sciences, School of Dentistry, University of Maryland Baltimore, Baltimore, MD, USA.
Lin Gao5 Key Laboratory of Biomedical Information Engineering of Education Ministry, Institute of Biomedical Engineering, School of Life Science and Technology, Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Ming Zhang1 Department of Medical Imaging, First affiliated hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.
University of Maryland, Baltimore · USFirst Affiliated Hospital of Xi'an Jiaotong University · CNXi'an Jiaotong University · CN

Funding

Interdisciplinary Training in Biobehavioral Pain ResearchT32NS070201 · NINDS · JOHNS HOPKINS UNIVERSITY · PI DONG, XINZHONG, SMITH, MICHAEL T · 2010 to 2024
$3.6M
NINDS NIH HHS T32 NS070201
6 · The paper itself

Abstract

backgroundRecent neuroimaging studies have reported grey matter alterations in primary trigeminal neuralgia patients. However, few studies have focused on quantitative measurements of trigeminal nerves and the interaction between trigeminal nerve volume and brain morphology, particularly grey matter volume. In this study, we investigated the link between trigeminal nerves and grey matter volume changes in primary trigeminal neuralgia patients compared to healthy controls. Moreover, we explored the association of structure of trigeminal nerves and grey matter to collected pain clinical variables.

methodsEighty participants (40 patients and 40 controls) were recruited for the study. All participants underwent MRI sessions and clinical pain assessment. Trigeminal nerve volume and whole brain grey matter volume were evaluated using quantitative imaging techniques. Sensory and affective pain rating indices were assessed using the visual analog scale and short-form McGill Pain Questionnaire. Mediation analysis was conducted to investigate the relationship between clinical pain variables and volumetric changes in trigeminal nerves and grey matter.

resultsDecreased trigeminal nerve volume was detected in primary trigeminal neuralgia patients compared to controls. Additionally, reduced grey matter volume was found in several regions associated with pain in primary trigeminal neuralgia subjects, including the insula, secondary somatosensory cortex, hippocampus, dorsal anterior cingulate cortex, precuneus, and several areas of the temporal lobe. Mediation analysis revealed that decreased trigeminal nerve volume drove grey matter volume abnormality of the left insula, and further led to increased pain ratings.

conclusionThis study showed a predominantly direct effect of trigeminal nerve atrophy on clinical pain variables in primary trigeminal neuralgia patients, providing new insight into the pathophysiology of the disease.

trial registrationClinicalTrials.gov ID: NCT02713646.

Indexed as

Severity of Illness IndexAtrophyBrainFemaleGray MatterHumansMagnetic Resonance ImagingMaleMiddle AgedOrgan SizePainPain MeasurementTrigeminal NerveTrigeminal Neuralgiapain ratingsPrimary trigeminal neuralgiatrigeminal nervevoxel-based morphometry

Identifiers

PMID30086682
PMCPMC8889450
OpenAlexW2886044657

What OpenQuestion holds

Textmetadata
LicenceTDM
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.