ArticleCureus2026
Staged Bilateral Microvascular Decompression for Simultaneous Bilateral Trigeminal Neuralgia Associated With Dolichoectatic Neurovascular Conflict: A Case Report and Literature Review.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Trigeminal neuralgia is most commonly unilateral and caused by neurovascular compression at the trigeminal root entry zone. Bilateral trigeminal neuralgia is rare, and simultaneous bilateral involvement is exceptionally uncommon, particularly when associated with dolichoectatic arterial conflict. A 72-year-old man presented with a five-year history of medically refractory simultaneous bilateral trigeminal neuralgia. Right-sided pain involved the V1, V2, and V3 divisions and consisted of high-intensity, electric shock-like paroxysms occurring more than seven times daily, followed by continuous pain lasting up to three hours. Pain severity was rated as Barrow Neurological Institute score 5 and Numerical Rating Scale 8 out of 10. Left-sided pain developed one year later, affected the V3 division, and manifested as more than five daily paroxysms of severe intensity (Barrow score 4; pain scale 10 out of 10), markedly limiting mastication and daily activities. Carbamazepine 600 mg/day was ineffective and poorly tolerated, and symptom progression led to depression, anxiety, avoidance behaviors, and suicidal ideation, with a Karnofsky Performance Status of 60. High-resolution MRI with contrast-enhanced T2-weighted fast imaging employing steady-state acquisition (FIESTA) sequences demonstrated bilateral neurovascular compression with a dolichoectatic superior cerebellar artery (SCA) and multiple neurovascular conflicts. The patient underwent staged bilateral microvascular decompression via mini-retrosigmoid approaches during a single hospitalization, with the right side operated on first due to more disabling continuous pain. Both procedures achieved immediate, complete, and complication-free pain relief, allowing withdrawal of medication and functional recovery (Karnofsky Performance Status of 90). Simultaneous bilateral trigeminal neuralgia with dolichoectatic neurovascular conflict poses a significant diagnostic and therapeutic challenge. This case supports staged bilateral microvascular decompression within a single admission as a safe and effective option for carefully selected patients with clear bilateral neurovascular compression.
Indexed as
Identifiers
What OpenQuestion holds
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.