Evidence map›Paper›PMID 42761352›Full record

ArticleNMC case report journal2026

V1-dominant Recurrence of Trigeminal Neuralgia after Gamma Knife Radiosurgery for V2-V3 Pain in a Patient with Persistent Vertebral Artery Compression: A Case Report.

Hiroaki Matsumoto, Yasunori Yoshida, Akihiro Okada, Hiroaki Minami, Yasuhisa Yoshida, Yumiko Okada

Abstract readCase Reports
In one paragraph

Article in NMC case report journal, 2026. 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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0cells of the map it votes in
0citing papers in PubMed
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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

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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

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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

6 authors.

Hiroaki MatsumotoDepartment of Neurosurgery, Cerebrovascular Research Institute, Yoshida Hospital, Kobe, Hyogo, Japan.
Yasunori YoshidaDepartment of Neurosurgery, Cerebrovascular Research Institute, Yoshida Hospital, Kobe, Hyogo, Japan.
Akihiro OkadaDepartment of Neurosurgery, Cerebrovascular Research Institute, Yoshida Hospital, Kobe, Hyogo, Japan.
Hiroaki MinamiDepartment of Neurosurgery, Cerebrovascular Research Institute, Yoshida Hospital, Kobe, Hyogo, Japan.
Yasuhisa YoshidaDepartment of Neurosurgery, Cerebrovascular Research Institute, Yoshida Hospital, Kobe, Hyogo, Japan.
Yumiko OkadaDepartment of Neurosurgery, Osaka City General Hospital, Osaka, Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gamma knife radiosurgery is an established minimally-invasive treatment for trigeminal neuralgia, but recurrence remains a concern, and the trigeminal division involved at relapse is rarely documented. A 63-year-old man developed recurrent trigeminal neuralgia 3 years after gamma knife radiosurgery for left V2-V3 pain, presenting this time with isolated V1 involvement. Magnetic resonance imaging revealed persistent, severe neurovascular compression of the left trigeminal root by a tortuous left vertebral artery with marked nerve flattening. Microvascular decompression achieved immediate and complete pain relief, and postoperative imaging confirmed full decompression. This case illustrates a V1-dominant recurrence pattern after gamma knife radiosurgery in the setting of persistent, deforming neurovascular compression by a tortuous vertebral artery. Although division-specific radiosurgical effects could not be confirmed, the complete resolution of pain after microvascular decompression supports the clinical importance of reassessing persistent mechanical compression when recurrent pain appears in a different trigeminal division.

Indexed as

gamma knife radiosurgerymicrovascular decompressionneurovascular compressionrecurrencetrigeminal neuralgia

Identifiers

PMID42761352
PMCPMC13586427

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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.