Evidence map›Paper›PMID 40656486›Full record

ArticleSurgical neurology international2025

Trigeminal radicular arteriovenous fistula presenting as trigeminal neuralgia treated with endovascular therapy.

Akiko Hasebe, Ichiro Nakahara, Fuminari Komatsu, Kenichi Haraguchi, Jun Tanabe, Yasuhiro Yamada, Riki Tanaka, Kento Sasaki, Shiho Tanaka, Koutarou Kihara and 3 more

Abstract readCase Reports
In one paragraph

Article in Surgical neurology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Akiko HasebeDepartment of Neurosurgery, Fujita Health University Bantane Hospital, Nagoya, Aichi, Japan.
Ichiro NakaharaDepartment of Neurosurgery, Fujita Health University Bantane Hospital, Nagoya, Aichi, Japan.
Fuminari KomatsuDepartment of Neurosurgery, Fujita Health University Bantane Hospital, Nagoya, Aichi, Japan.
Kenichi HaraguchiDepartment of Neurosurgery, Fujita Health University Bantane Hospital, Nagoya, Aichi, Japan.
Jun TanabeDepartment of Neurosurgery, Fujita Health University Bantane Hospital, Nagoya, Aichi, Japan.
Yasuhiro YamadaDepartment of Neurosurgery, Fujita Health University Bantane Hospital, Nagoya, Aichi, Japan.
Riki TanakaDepartment of Neurosurgery, Fujita Health University Bantane Hospital, Nagoya, Aichi, Japan.
Kento SasakiDepartment of Neurosurgery, Fujita Health University Bantane Hospital, Nagoya, Aichi, Japan.
Shiho TanakaDepartment of Neurosurgery, Fujita Health University Bantane Hospital, Nagoya, Aichi, Japan.
Koutarou KiharaDepartment of Neurosurgery, Fujita Health University Bantane Hospital, Nagoya, Aichi, Japan.
Tomoka KatayamaDepartment of Neurosurgery, Fujita Health University Bantane Hospital, Nagoya, Aichi, Japan.
Mai OkuboDepartment of Neurosurgery, Fujita Health University Bantane Hospital, Nagoya, Aichi, Japan.
Yoko KatoDepartment of Neurosurgery, Fujita Health University Bantane Hospital, Nagoya, Aichi, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This report presents a rare case of trigeminal neuralgia (TN) caused by a radicular arteriovenous fistula (AVF). Case Description: A 58-year-old woman presented with severe pain in the right lower jaw, typical of TN. Magnetic resonance imaging showed a vascular signal near the trigeminal nerve. Direct surgery revealed tortuous vessels on the dorsal surface of the nerve, with no offending vessels identified at the root entry zone. Digital subtraction angiography (DSA) confirmed a radicular AVF fed by the trigeminocerebellar artery, with venous drainage into the superior petrosal sinus through the petrosal vein. Endovascular embolization with n-butyl cyanoacrylate resulted in complete obliteration of the fistula and symptom resolution. Although a small pontine infarction occurred, no long-term deficits were observed. Follow-up DSA confirmed no recurrence. Conclusion: To the best of our knowledge, this represents the first documented case of a trigeminal radicular AVF, highlighting the importance of recognizing vascular anomalies and efficacy of endovascular treatment in managing TN.

Indexed as

Endovascular therapyRadicular arteriovenous fistulaTrigeminal nerveTrigeminal neuralgia

Identifiers

PMID40656486
PMCPMC12255225

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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.