Evidence map›Paper›PMID 42804795›Full record

ArticleJournal of neurosurgery. Case lessons2026

When tongue pain is trigeminal neuralgia: illustrative cases.

Zahraa F Al-Sharshahi, Thomas Pittman

Abstract read
In one paragraph

Article in Journal of neurosurgery. Case lessons, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

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

2 authors.

Zahraa F Al-SharshahiDepartment of Neurosurgery, University of Kentucky, Lexington, Kentucky.
Thomas PittmanDepartment of Neurosurgery, University of Kentucky, Lexington, Kentucky.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTrigeminal neuralgia (TN) classically presents with paroxysmal facial pain in the V2 or V3 distributions. Rarely, symptoms localize to the anterior tongue, mimicking peripheral lingual nerve pathology or glossopharyngeal neuralgia. OBSERVATIONS: Two older women presented with refractory right-sided tongue pain. Case 1 was an 80-year-old woman with sublingual pain evolving from shock-like paroxysms to continuous burning, with no neurovascular compression (NVC) demonstrated on preoperative MRI. Case 2 was a 71-year-old woman who underwent Gamma Knife radiosurgery and lingual nerve exploration for presumed peripheral pathology without relief, despite MRI showing venous loops at the root entry zone. Both had NVC at the trigeminal root confirmed intraoperatively and achieved complete pain resolution after microvascular decompression. LESSONS: TN can present as isolated tongue pain due to proximal pathology at the trigeminal root. Misattribution to peripheral lingual nerve disease can lead to unnecessary interventions. Negative MRI findings do not exclude the diagnosis when clinical features are compelling. https://thejns.org/doi/10.3171/CASE26480.

Indexed as

lingual nervemicrovascular decompressionneurovascular compressiontongue paintrigeminal neuralgia

Identifiers

PMID42804795
PMCPMC13618020

What OpenQuestion holds

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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.