Evidence map›Paper›PMID 31491821›Full record

ArticleNeuroImage. Clinical2019

Selective hippocampal subfield volume reductions in classic trigeminal neuralgia.

Michael Frantisek Vaculik, Alborz Noorani, Peter Shih-Ping Hung, Mojgan Hodaie

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in NeuroImage. Clinical, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06518421 (The Role of Limbic Subcortical Structures and Cognition in Chronic Neuropathic Pain), which is not on this map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
4.0field-weighted citation impact, top 6% 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.

NCT06518421 recruitingnot on this mapstarted 2024, after this paper: background citation

The Role of Limbic Subcortical Structures and Cognition in Chronic Neuropathic Pain

TypeobservationalSponsorUniversity Health Network, TorontoRan2024 to 2029Enrolled400ConditionsTrigeminal Neuralgia, Facial PainArmsNeuropsychological assessments, MR Imaging
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Neuromodulation of the central nervous system for facial pain.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
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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

4 authors at 2 institutions in 1 country.

Michael Frantisek VaculikDalhousie Medical School, Dalhousie University, Halifax, Nova Scotia, Canada; Division of Brain, Imaging, and Behaviour - Systems Neuroscience, Krembil Brain Institute, Toronto Western Hospital, University Health Network, Ontario, Canada; Department of Surgery and Institute of Medical Science, Faculty of Medicine, University of Toronto, Ontario, Canada.
Alborz NooraniDivision of Brain, Imaging, and Behaviour - Systems Neuroscience, Krembil Brain Institute, Toronto Western Hospital, University Health Network, Ontario, Canada; Department of Surgery and Institute of Medical Science, Faculty of Medicine, University of Toronto, Ontario, Canada; Collaborative Program in Neuroscience, University of Toronto, Ontario, Canada.
Peter Shih-Ping HungDivision of Brain, Imaging, and Behaviour - Systems Neuroscience, Krembil Brain Institute, Toronto Western Hospital, University Health Network, Ontario, Canada; Department of Surgery and Institute of Medical Science, Faculty of Medicine, University of Toronto, Ontario, Canada; Collaborative Program in Neuroscience, University of Toronto, Ontario, Canada.
Mojgan HodaieDivision of Brain, Imaging, and Behaviour - Systems Neuroscience, Krembil Brain Institute, Toronto Western Hospital, University Health Network, Ontario, Canada; Department of Surgery and Institute of Medical Science, Faculty of Medicine, University of Toronto, Ontario, Canada; Collaborative Program in Neuroscience, University of Toronto, Ontario, Canada; Division of Neurosurgery, Toronto Western Hospital, University Health Network, Ontario, Canada. Electronic address: Mojgan.Hodaie@uhn.ca.
University Health Network · CADalhousie University · CA

Funding

CIHR MOP130555
6 · The paper itself

Abstract

Trigeminal Neuralgia (TN) is a chronic neuropathic pain syndrome characterized by paroxysmal unilateral shock-like pains in the trigeminal territory most frequently attributed to neurovascular compression of the trigeminal nerve at its root entry zone. Recent advances in the study of TN suggest a possible central nervous system (CNS) role in modulation and maintenance of pain. TN and other chronic pain patients commonly experience alterations in cognition and affect, as well as abnormalities in CNS volume and microstructure in regions associated with pain perception, emotional modulation, and memory consolidation. However, the microstructural changes in the hippocampus, an important structure within the limbic system, have not been previously studied in TN patients. Here, we use grey matter analysis to assess whether TN pain is associated with altered hippocampal subfield volume in patients with classic TN. Anatomical magnetic resonance (MR) images of twenty-two right-sided TN patients and matched healthy controls underwent automated segmentation of hippocampal subfields using FreeSurfer v6.0. Right-sided TN patients had significant volumetric reductions in ipsilateral cornu ammois 1 (CA1), CA4, dentate gyrus, molecular layer, and hippocampus-amygdala transition area - resulting in decreased whole ipsilateral hippocampal volume, compared to healthy controls. Overall, we demonstrate selective hippocampal subfield volume reduction in patients with classic TN. These changes occur in subfields implicated as neural circuits for chronic pain processing. Selective subfield volume reduction suggests aberrant processes and circuitry reorganization, which may contribute to development and/or maintenance of TN symptoms.

Indexed as

AdultChronic PainFemaleHippocampusHumansMagnetic Resonance ImagingMaleMiddle AgedRetrospective StudiesTrigeminal NeuralgiaChronic painFacial painHippocampusStructural MR analysisTrigeminal neuralgia

Identifiers

PMID31491821
PMCPMC6616529
OpenAlexW2955353630

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.