Evidence map›Paper›PMID 30293214›Full record

ArticleBrain structure & function2019

Ex vivo visualization of the trigeminal pathways in the human brainstem using 11.7T diffusion MRI combined with microscopy polarized light imaging.

Dylan J H A Henssen, Jeroen Mollink, Erkan Kurt, Robert van Dongen, Ronald H M A Bartels, David Gräβel, Tamas Kozicz, Markus Axer, Anne-Marie Van Cappellen van Walsum

Abstract read
In one paragraph

Article in Brain structure & function, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  12. The trigeminal pathways.Journal of neurology · 2022
    Review
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  16. Mapping the trigeminal root entry zone and its pontine fibre distribution patterns.Cephalalgia : an international journal of headache · 2020
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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

9 authors.

Dylan J H A HenssenDepartment of Anatomy, Donders Institute for Brain, Cognition and Behavior, Radboud University Medical Center, Geert Grooteplein Noord 21, 6525 EZ, Nijmegen, The Netherlands. dylan.henssen@radboudumc.nl.ORCID http://orcid.org/0000-0002-3915-3034
Jeroen MollinkDepartment of Anatomy, Donders Institute for Brain, Cognition and Behavior, Radboud University Medical Center, Geert Grooteplein Noord 21, 6525 EZ, Nijmegen, The Netherlands.
Erkan KurtDepartment of Neurosurgery, Radboud University Medical Center, Nijmegen, The Netherlands.
Robert van DongenDepartment of Anesthesiology, Pain and Palliative Care, Radboud University Medical Center, Nijmegen, The Netherlands.
Ronald H M A BartelsDepartment of Neurosurgery, Radboud University Medical Center, Nijmegen, The Netherlands.
David GräβelInstitute of Neuroscience and Medicine (INM-1), Research Centre Jülich, Jülich, Germany.
Tamas KoziczDepartment of Anatomy, Donders Institute for Brain, Cognition and Behavior, Radboud University Medical Center, Geert Grooteplein Noord 21, 6525 EZ, Nijmegen, The Netherlands.
Markus AxerInstitute of Neuroscience and Medicine (INM-1), Research Centre Jülich, Jülich, Germany.
Anne-Marie Van Cappellen van WalsumDepartment of Anatomy, Donders Institute for Brain, Cognition and Behavior, Radboud University Medical Center, Geert Grooteplein Noord 21, 6525 EZ, Nijmegen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Classic anatomical atlases depict a contralateral hemispheral representation of each side of the face. Recently, however, a bilateral projection of each hemiface was hypothesized, based on animal studies that showed the coexistence of an additional trigeminothalamic tract sprouting from the trigeminal principal sensory nucleus that ascends ipsilaterally. This study aims to provide an anatomical substrate for the hypothesized bilateral projection. Three post-mortem human brainstems were scanned for anatomical and diffusion magnetic resonance imaging at 11.7T. The trigeminal tracts were delineated in each brainstem using track density imaging (TDI) and tractography. To evaluate the reconstructed tracts, the same brainstems were sectioned for polarized light imaging (PLI). Anatomical 11.7T MRI shows a dispersion of the trigeminal tract (tt) into a ventral and dorsal portion. This bifurcation was also seen on the TDI maps, tractography results and PLI images of all three specimens. Referring to a similar anatomic feature in primate brains, the dorsal and ventral tracts were named the dorsal and ventral trigeminothalamic tract (dtt and vtt), respectively. This study shows that both the dtt and vtt are present in humans, indicating that each hemiface has a bilateral projection, although the functional relevance of these tracts cannot be determined by the present anatomical study. If both tracts convey noxious stimuli, this could open up new insights into and treatments for orofacial pain in patients.

Indexed as

Diffusion Magnetic Resonance ImagingMicroscopy, PolarizationAgedBrain StemCadaverFaceFemaleHumansMaleMiddle AgedNeural PathwaysTrigeminal NerveAnatomyBrainstemDiffusion-weighted imagingEx-vivo high-resolution imagingHistologyMRIPolarized light imagingTrigeminal pathways

Identifiers

PMID30293214
PMCPMC6373363

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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.