Evidence map›Paper›PMID 38787487›Full record

SynthesisNeurosurgical review2024

Efficacy and safety of microvascular decompression with or without partial sensory rhizotomy: a comprehensive meta-analysis and systematic review in treating trigeminal neuralgia.

Marcelo Porto Sousa, Christian Ken Fukunaga, Márcio Yuri Ferreira, Gabriel da Silva Semione, Pedro G L B Borges, Guilherme Melo Silva, Gabriel Verly, Leonardo B Oliveira, Sávio Batista, Filipi Fim Andreão and 3 more

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Neurosurgical review, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Pathophysiology and Management of Refractory Trigeminal Neuralgia.Current neurology and neuroscience reports · 2024
    Review
  5. Review
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

13 authors.

Marcelo Porto SousaFaculty of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Christian Ken FukunagaFaculty of Medicine, FMABC University Center, São Paulo, Brazil. christiankenfukunaga@gmail.com.ORCID http://orcid.org/0009-0004-1900-9432
Márcio Yuri FerreiraFaculty of Medicine, Ninth July University, São Paulo, SP, Brazil.
Gabriel da Silva SemioneUniversity of West of Santa Catarina, Santa Catarina, Brazil.
Pedro G L B BorgesTechnical-Educational Foundation Souza Marques, Rio de Janeiro, Brazil.
Guilherme Melo SilvaFaculty of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Gabriel VerlyFaculty of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Leonardo B OliveiraDepartment of Neurosurgery, State University of Ponta Grossa, Paraná, Brazil.
Sávio BatistaFaculty of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Filipi Fim AndreãoFaculty of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Herika Negri BritoDepartment of Neurosurgery, Mayo Clinic, Arizona, USA.
Raphael BertaniDepartment Neurosurgery, University of São Paulo, São Paulo, Brazil.
Pedro Henrique Martins da CunhaDepartment of Neurology, University of São Paulo, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Classical trigeminal neuralgia (TN), caused by vascular compression of the nerve root, is a severe cause of pain with a considerable impact on a patient's quality of life. While microvascular decompression (MVD) has lower recurrence rates when compared with partial sensory rhizotomy (PSR) alone, refractoriness can still be as high as 47%. We aimed to assess the efficacy and safety profile of MVD + PSR when compared to standalone MVD for TN. We searched Medline, Embase, and Web of Science following PRISMA guidelines. Eligible studies included those with ≥ 4 patients, in English, published between January 1980 and December 2023, comparing MVD vs. MVD + PSR for TN. Endpoints were pain cure, immediate post-operative pain improvement, long-term effectiveness, long-term recurrence, and complications (facial numbness, hearing loss, and intracranial bleeding). We pooled odds ratios (OR) with 95% confidence intervals with a random-effects model. I

Indexed as

Microvascular Decompression SurgeryRhizotomyTrigeminal NeuralgiaHumansQuality of LifeTreatment OutcomeMicrovascular decompressionPartial sensory rhizotomyTrigeminal neuralgia

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.