Evidence map›Paper›PMID 39359841›Full record

ReviewAnnals of medicine and surgery (2012)2024

Chiari malformation and its influence on trigeminal neuralgia: a systematic review.

Amr Badary, Yasser F Almealawy, William A Florez-Perdomo, Vivek Sanker, Wireko Andrew Awuah, Toufik Abdul-Rahman, Arwa Salam Alabide, Sura N Alrubaye, Aalaa Saleh, Anil Ergen and 3 more

Abstract readReview
In one paragraph

Review in Annals of medicine and surgery (2012), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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.

Amr BadaryDepartemnt of Neurosurgery, Klinikum Dessau, Dessau-Roßlau.
Yasser F AlmealawyFaculty of Medicine, University of Kufa, Kufa.
William A Florez-PerdomoColombian Clinical Research Group in Neurocritical Care, Bogota, Colombia.
Vivek SankerDepartment of Neurosurgery, Trivandrum Medical College, Kerala, India.
Wireko Andrew AwuahFaculty of Medicine, Sumy State University, Sumy, Ukraine.
Toufik Abdul-RahmanFaculty of Medicine, Sumy State University, Sumy, Ukraine.
Arwa Salam AlabideFacility of Medicine, Al_Kufa University, Najaf.
Sura N AlrubayeCollege of Medicine, University of Babylon, Hilla, Iraq.
Aalaa SalehLebanese University, Faculty of Medical Sciences, Beirut, Lebanon.
Anil ErgenDepartment of Neurosurgery, Derince Research Hospital, Derince, Kocaeli, Turkey.
Bipin ChaurasiaDepartment of Neurosurgery, Neurosurgery Clinic, Birgunj, Nepal.ORCID https://orcid.org/0000-0002-8392-2072
Mohammed A AzabDepartemnt of Neurosurgery, Cairo University Hospital, Cairo, Egypt.
Oday AtallahDepartemnt of Neurosurgery, Hannover Medical School, Hannover, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: In order to properly understand the correlation between TN and Chiari malformation type I (CMI), it is imperative to delve into the underlying processes and develop efficacious treatment strategies. Methods: A comprehensive search was performed regarding trigeminal neuralgia (TN) in individuals diagnosed with CMI. A total of 19 cases were identified in the existing literature. Results: The review of 19 studies showed that the most commonly affected division was V2 (31.6%), followed by V3 (10.5%) and V1 (5.3%). Radiological findings were variable. The medulla oblongata was compressed in 6 patients (31.6%), the cervical spinal cord showed abnormalities in 3 patients (15.8%) abnormalities; one cervical myelocele (5.26%), two cervical syringomyelia (10.53%) while 5 patients (26.3%) showed normal findings. The skull bones in 4 patients (21,1%) showed deformity in the form of small posterior fossa or platybasia. The surgical treatment was conducted in 14 patients (73.7%). The study suggested that posterior fossa decompression (PFD) plus microvascular decompression (MVD) dual surgical modality yielded the best results for V2 distribution ( Conclusion: Chiari malformation type I can directly influence the occurrence and severity of trigeminal neuralgia. Therefore, an effective management of this malformation, like neurovascular decompression, PFD or ventriculoperitoneal shunt, can act as a potential treatment for trigeminal neuralgia. While the PFD alone was effective in the V3 and V1 distribution of trigeminal neuralgia, PFD plus microvascularplus plus microvascular decompression (MVD) as a dual surgical modality yielded the best results for V2 distribution.

Indexed as

Chiari malformationmicrovascular decompressionposterior fossa decompressiontrigeminal neuralgia

Identifiers

PMID39359841
PMCPMC11444572

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Registered trials

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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.