Evidence map›Paper›PMID 41601300›Full record

ArticleBrain and behavior2026

No Glymphatic Dysfunction in Trigeminal Neuralgia: A Preliminary Study.

Barış Genç, Kerim Aslan

Abstract read
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Article in Brain and behavior, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Barış GençFaculty of Medicine, Department of Radiology, Ondokuz Mayıs University, Samsun, Türkiye.ORCID https://orcid.org/0000-0003-3548-6373
Kerim AslanFaculty of Medicine, Department of Radiology, Ondokuz Mayıs University, Samsun, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTrigeminal neuralgia (TN) patients are at risk for glymphatic dysfunction due to their prolonged headaches and sleep disturbances.

objectiveThe aim of this study is to compare the glymphatic function changes in TN patients with healthy controls, to investigate whether there are differences in glymphatic function after decompression surgery, and to examine their relationship with clinical parameters.

methodsThe data for this hybrid design study were obtained from the OpenNeuro dataset titled "A large-scale dataset of pre- and post-surgical MRI data in patients with chronic trigeminal neuralgia." The DTI-ALPS index values were calculated for 62 TN patients with normal brain MRIs and 35 age- and sex-matched healthy controls, as well as for 53 TN patients who had both preoperative and postoperative diffusion tensor imaging. Statistical analyses involved nonparametric tests and Spearman correlation to assess differences between groups and relationships with clinical variables such as age, disease duration, and Sindou grading.

resultsThere were no significant differences in DTI-ALPS indices between TN patients and controls. Additionally, preoperative and postoperative comparisons in the TN cohort revealed no significant changes in glymphatic function following surgery. Furthermore, no correlations were observed between DTI-ALPS indices and clinical parameters, including patient age, disease duration, or the severity of neurovascular compression.

conclusionsThe findings of this preliminary study suggest that glymphatic dysfunction is not a contributing factor in the pathogenesis of TN and that microvascular decompression surgery does not alter glymphatic clearance. These results indicate that the underlying mechanisms of TN may be independent of glymphatic impairment, despite the presence of sleep disturbances in this population.

Indexed as

Glymphatic SystemTrigeminal NeuralgiaAdultAgedDecompression, SurgicalDiffusion Tensor ImagingFemaleHumansMagnetic Resonance ImagingMaleMiddle Aged

Identifiers

PMID41601300
PMCPMC12848371

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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.