The role of neurovascular conflict in the pathogenesis of classical trigeminal neuralgia and the dynamics of approaches to its visualization
https://doi.org/10.21886/2712-8156-2021-2-1-24-31
Abstract
The thematic review discusses various points of view on the topographic and atomic features of the location of the root of the trigeminal nerve and the superior cerebellar artery that serve as the foundation for the development of classical trigeminal neuralgia. The diagnostic capabilities of magnetic resonance imaging in the recognition of neurovascular conflict as the pathogenetic basis of the disease are considered. The search for diagnostic criteria that distinguish neurovascular conflict from neurovascular contact by improving both the performance of MRI and the new technical possibilities of its interpretation is highlighted in the chronological aspect. The possibilities of multispiral X-ray computed angiography in 3D mode as an alternative method for diagnosing neurovascular conflict are described.
About the Authors
E. V. BaliazinaRussian Federation
Elena V. Balyazina, Dr. Sci. (Med.), Associate Professor, Professor of the Department of Neurology and Neurosurgery.
Rostov-on-Don
O. M. Evusyak
Russian Federation
Oxana M. Evusyak, PhD student of the Department of Neurology and Neurosurgery.
Rostov-on-Don
V. A. Baliazin
Russian Federation
Viktor A. Balyazin, Dr. Sci. (Med.), Professor, Head of the Department of Neurology and Neurosurgery.
Rostov-on-Don
N. G. Kadyan
Russian Federation
Norayr G. Kadyan, PhD student of the Department of Neurology and Neurosurgery.
Rostov-on-Don
References
1. Dandy W.E. Concerning the cause of trigeminal neuralgia. Amer J Surg. 1934;24:447-455. doi: 10.1016/S0002-9610(34)90403-7
2. Gardner W.J., Miklos M.V. Response of trigeminal neuralgia to decompression of sensory root; discussion of cause of trigeminal neuralgia. J Am Med Assoc. 1959;170(15):1773-6. doi: 10.1001/jama.1959.03010150017004.
3. Gardner WJ. Concerning the mechanism of trigeminal neuralgia and hemifacial spasm. J Neurosurg. 1962;19(6):947-958. doi: 10.3171/jns.1962.19.11.0947
4. Jannetta PJ. Arterial compression of the trigeminal nerve at the pons in patients with trigeminal neuralgia. J Neurosurg. 1967;26:159-162. doi: 10.3171/jns.1967.26.1part2.0159
5. Jannetta PJ. Neurovascular compression in cranial nervi and systemic disease. Ann Surg. 1980;192(4):518-525. doi: 10.1097/00000658-198010000-00010
6. Jannetta PJ. Microvascular decompression of the trigeminal nerve root entry zone: theoretical considerations, operative anatomy, surgical techniques, and results. In: Trigeminal neuralgia. R.I. Rovit, R. Murali, PJ. Jannetta, eds. Baltimore, Md: Williams&Wilkins;1990:201-222. ISBN 0683073931
7. Оглезнев К.Я., Григорян Ю.А., Шестрериков С.А. Патофизиологические механизмы возникновения и методы лечения лицевых болей. Новосибирск; Наука, 1990:190. ISBN 5-02-029226-5.
8. Ashkan K., Marsh H. Microvascular decompression for trigeminal neuralgia in the elderly: a review of the safety and efficacy. Neurosurgery. 2004;55(4):840-884. doi: 10.1227/01.neu.0000137660.06337.c5
9. Broggi G., Ferroli P., Franzini A., Servello D., Dones I. Microvascular decompression for trigeminal neuralgia: comments on a series of 250 cases, including 10 patients with multiple sclerosis. J Neurol Neurosurg Psychiatry. 2000;68(1):59-64. doi: 10.1136/jnnp.68.1.59
10. Broggi G., Ferroli P., Franzini A., Nazzi V., Farina L., La Mantia L. et al. Operative findings and outcomes of microvascular decompression for trigeminal neuralgia in 35 patients affected by multiple sclerosis. Neurosurgery. 2004;55(4):830-8. PMID: 15458591.
11. Gandolfi A., Salvinelli F., Greco F., Casale M., D'Ascanio L. Microvascular decompression for trigeminal neuralgia: a simple and effective transposition method using synthetic adhesive. Clin Neurol Neurosurg. 2005;107(5):439-40. doi: 10.1016/j.clineuro.2004.09.023
12. Mendoza N., Illingworth R.D. Trigeminal neuralgia treated by microvascular decompression: a long-term follow-up study. Br J Neurosurg. 1995;9(1):13-9. PMID: 7786420.
13. Sun S.Y., Yin J.Z., Qiu L.L. Microvascular decompression for trigeminal neuralgia. Chin Med J (Engl). 1994;107(4):286-8. PMID: 8088197.
14. Sun T., Saito S., Nakai O., Ando T. Long-term results of microvascular decompression for trigeminal neuralgia with reference to probability of recurrence. Acta Neurochir (Wien). 1994;126(2-4):144-8. doi: 10.1007/BF01476425
15. Tashiro H., Kondo A., Aoyama I., Nin K., Shimotake K., Nishioka T. et al. Trigeminal neuralgia caused by compression from arteries transfixing the nerve. Report of three cases. J Neuro-surg. 1991;75(5):783-6. doi: 10.3171/jns.1991.75.5.0783
16. Weidmann M.J. Trigeminal neuralgia. Surgical treatment by microvascular decompression of the trigeminal nerve root. Med J Aust. 1979;2(12):628-30. PMID: 537548.
17. Zakrzewska J.M., Coakham H.B. Microvascular decompression for trigeminal neuralgia: update. Curr Opin Neurol. 2012;25(3):296-301. doi: 10.1097/WCO.0b013e328352c465.
18. Lee S.H., Levy E.I., Scarrow A.M., Kassam A., Jannetta PJ. Recurrent trigeminal neuralgia attributable to veins after microvascular decompression. Neurosurgery. 2000;46(2):356-61. doi: 10.1097/00006123-200002000-00019
19. Barker F.G. 2nd, Jannetta P.J., Babu R.P., Pomonis S., Bis-sonette D.J., Jho H.D. Long-term outcome after operation for trigeminal neuralgia in patients with posterior fossa tumors. J Neurosurg. 1996;84(5):818-25. doi: 10.3171/jns.1996.84.5.0818
20. Barker F.G. 2nd, Jannetta PJ., Bissonette D.J., Larkins M.V., Jho H.D. The long-term outcome of microvascular decompression for trigeminal neuralgia. N EnglJ Med. 1996;334(17):1077-83. doi: 10.1056/NEJM199604253341701
21. Kitt C.A., Gruber K., Davis M., Woolf C.J., Levine J.D. Trigeminal neuralgia: opportunities for research and treatment. Pain. 2000;85(1-2):3-7. doi: 10.1016/s0304-3959(99)00310-3
22. Kuncz A., Mencser Z., Voros E., Bodosi M. Management of trigeminal neuralgia by microvascular decompression. Orv Hetil. 1997;138(33):2051-5. PMID: 9304096.
23. Haines S.J., Martinez A.J., Jannetta PJ. Arterial cross compression of the trigeminal nerve at the pons in trigeminal neuralgia. Case report with autopsy findings. J Neurosurg. 1979;50(2):257-9. doi: 10.3171/jns.1979.50.2.0257
24. Haines S.J., Jannetta P.J., Zorub D.S. Microvascular relations of the trigeminal nerve. An anatomical study with clinical correlation. J Neurosurg. 1980;52(3):381-6. doi: 10.3171/jns.1980.52.3.0381
25. Hardy D.G., Peace D.A., Rhoton A.L. Jr. Microsurgical anatomy of the superior cerebellar artery. Neurosurgery. 1980;6(1):10-28. doi: 10.1227/00006123-198001000-00002
26. Hamlyn PJ. Neurovascular relationships in the posterior cranial fossa, with special reference to trigeminal neuralgia. 2. Neurovascular compression of the trigeminal nerve in cadaveric controls and patients with trigeminal neuralgia: quantification and influence of method. Clin Anat. 1997;10(6):380-8. doi: 10.1002/(SICI)1098-2353(1997)10:6<380::AID-CA2>3.0.C0;2-T.
27. Rhoton A.L. Jr. The cerebellar arteries. Neurosurgery. 2000;47(3 Suppl):S29-68. doi: 10.1097/00006123-200009001-00010
28. Guclu B., Sindou M., Meyronet D., Streichenberger N., Simon E., Mertens P. Cranial nerve vascular compression syndromes of the trigeminal, facial and vago-glossopharyngeal nerves: comparative anatomical study of the central myelin portion and transitional zone; correlations with incidences of corresponding hyperactive dysfunctional syndromes. Acta Neuro-chir(Wien). 2011;153(12):2365-75. doi: 10.1007/s00701-011-1168-1
29. Балязина Е.В. Топографоанатомические взаимоотношения ствола тойничного нерва с верхней мозжечковой артерией у больных с невралгией тройничного нерва. Морфология. 2009;136(5):27-31. eLIBRARY ID: 13001713
30. Sindou M. Trigeminal neuralgia: a plea for microvascular decompression as the first surgical option. Anatomy should prevail. Acta Neurochir (Wien). 2010;152(2):361-4. doi: 10.1007/s00701-009-0506-z
31. Burchiel K.J. A new classification for facial pain. Neurosurgery. 2003;53(5):1164-6. doi: 10.1227/01.neu.0000088806.11659.d8
32. Eller J.L., Raslan A.M., Burchiel K.J. Trigeminal neuralgia: definition and classification. Neurosurg Focus. 2005;18(5):E3. doi: 10.3171/foc.2005.18.5.4
33. Miller J.P., Acar F., Burchiel K.J. Classification of trigeminal neuralgia: clinical, therapeutic, and prognostic implications in a series of 144 patients undergoing microvascular decompression. J Neurosurg. 2009;111(6):1231-4. doi: 10.3171/2008.6.17604
34. Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia. 2018;38(1):1-211. doi: 10.1177/0333102417738202.
35. Heros R.C. Results of microvascular decompression for trigeminal neuralgia. J Neurosurg. 2009;110(4):617-8. doi: 10.3171/2008.10.0800243
36. Sarsam Z., Garcia-Finana M., Nurmikko T.J., Varma T.R., Eldridge P. The long-term outcome of microvascular decompression for trigeminal neuralgia. Br J Neurosurg. 2010;24(1):18-25. doi: 10.3109/02688690903370289
37. Meaney J.F., Miles J.B., Nixon T.E., Whitehouse G.H., Ballantyne E.S., Eldridge P.R. Vascular contact with the fifth cranial nerve at the pons in patients with trigeminal neuralgia: detection with 3D FISP imaging. AJR Am J Roentgenol. 1994;163 (6):1447-52. doi: 10.2214/ajr.163.6.7992745
38. Kress B., Schindler M., Rasche D., Hahnel S., Tronnier V., Sartor K. Trigeminal neuralgia: how often are trigeminal nerve-vessel contacts found by MRI in normal volunteers. Rofo. 2006;178(3):313-5. doi: 10.1055/s-2005-858959.
39. Monstad P. Microvascular decompression as a treatment for cranial nerve hyperactive dysfunction--a critical view. Acta Neurol Scand Suppl. 2007;187:30-3. doi: 10.1111/j.1600-0404.2007.00857.x
40. Benes L, Shiratori K, Gurschi M, Sure U, Tirakotai W, Krischek B, et al. Is preoperative high-resolution magnetic resonance imaging accurate in predicting neurovascular compression in patients with trigeminal neuralgia? A single-blind study. Neurosurg Rev. 2005;28(2):131-6. doi: 10.1007/s10143-004-0372-3.
41. Peker S., Dinner A., Necmettin Pamir M. Vascular compression of the trigeminal nerve is a frequent finding in asymptomatic individuals: 3-T MR imaging of 200 trigeminal nerves using 3D CISS sequences. Acta Neurochir (Wien). 2009;151(9):1081-8. doi: 10.1007/s00701-009-0329
42. Kraemer J.L., Pereira Filho Ade A., David Gd., Faria Mde B. Vertebrobasilar dolichoectasia as a cause of trigeminal neuralgia: the role of microvascular decompression. Case report. Arq Neuropsiquiatr. 2006;64(1):128-31. doi: 10.1590/s0004-282x2006000100027.
43. Klun B., Prestor B. Microvascular relations of the trigeminal nerve: an anatomical study. Neurosurgery. 1986;19(4):535-9. doi: 10.1227/00006123-198610000-00007
44. Li S.T., Pan Q., Liu N., Shen F., Liu Z., Guan Y. Trigeminal neuralgia: what are the important factors for good operative outcomes with microvascular decompression. Surg Neurol. 2004; 62 (5):400-4. doi: 10.1016/j.surneu.2004.02.028
45. Lorenzoni J.G., Massager N., David P., Devriendt D., Desmedt F., Brotchi J. et al. Neurovascular compression anatomy and pain outcome in patients with classic trigeminal neuralgia treated by radiosurgery. Neurosurgery. 2008;62(2):368-75. doi: 10.1227/01.neu.0000316003.80893.81
46. Kuncz A., Voros E., Barzo P., Tajti J, .Milassin P., Bodosi M. Az The role of MR angiography in predicting operative results of microvascular decompression in patients with trigeminal neuralgia. Orv Hetil. 2005;146(51):2595-602. PMID: 16468614.
47. Lang E., Naraghi R., Tanrikulu L., Hastreiter P., Fahlbusch R., Neundorfer B. et al. Neurovascular relationship at the trigeminal root entry zone in persistent idiopathic facial pain: findings from MRI 3D visualisation. J Neurol Neurosurg Psychiatry. 2005;76(11):1506-9. doi: 10.1136/jnnp.2005.066084
48. Ueda F., Suzuki M., Fujinaga Y., Kadoya M., Takashima T. In vivo anatomical analysis of arterial contact with trigeminal nerve: detection with three-dimensional spoiled grass imaging. Br J Radiol. 1999 Sep;72(861):838-45. doi: 10.1259/bjr.72.861.10645189.
49. Masuda Y., Yamamoto T., Akutsu H., Shiigai M., Masumoto T., Ishikawa E. et al. Usefulness of Subtraction of 3D T2WI-DRIVE from Contrast- Enhanced 3D T1WI: Preoperative Evaluations of the Neurovascular Anatomy of Patients with Neurovascular Compression Syndrome. Am.J. Neuroradiol. 2015;36(2):317-322. doi: 10.3174/ajnr.A4130
50. Antonini G., Di Pasquale A., Cruccu G., Truini A., Morino S., Saltelli G. et al. Magnetic resonance imaging contribution for diagnosing symptomatic neurovascular contact in classical trigeminal neuralgia: a blinded case-control study and meta-analysis. Pain. 2014;155(8):1464-71. doi: 10.1016/j.pain.2014.04.020
51. Lin W., Chen Y.L., Zhang Q.W. Vascular compression of the trigeminal nerve in asymptomatic individuals: a voxel-wise analysis of axial and radial diffusivity. Acta Neurochir (Wien). 2014;156(3):577-80. doi: 10.1007/s00701-013-1970-z
52. Maarbjerg S., Wolfram F., Gozalov A., Olesen J., Bendtsen L. Significance of neurovascular contact in classical trigeminal neuralgia. Brain. 2015;138(Pt 2):311-9. doi: 10.1093/brain/awu349
53. Alper J., Shrivastava R.K., Balchandani P. Is There a Magnetic Resonance Imaging-Discernible Cause for Trigeminal Neuralgia? A Structured Review. World Neurosurg. 2017;98:89-97. doi: 10.1016/j.wneu.2016.10.104
54. Donahue JH, Ornan DA, Mukherjee S. Imaging of Vascular Compression Syndromes. Radiol Clin North Am. 2017;55(1):123-138. doi: 10.1016/j.rcl.2016.08.001.
55. Xiang C.Q., Liu W.F., Xu Q.H., Su T., Yong-Qiang S., Min Y.L. et al. Altered Spontaneous Brain Activity in Patients with Classical Trigeminal Neuralgia Using Regional Homogeneity: A Resting-State Functional MRI Study. Pain Pract. 2019;19(4):397-406. doi: 10.1111/papr.12753
56. Zhang Y., Mao Z., Cui Z., Ling Z., Pan L., Liu X. et al. Diffusion Tensor Imaging of Axonal and Myelin Changes in Classical Trigeminal Neuralgia. World Neurosurg. 2018;112:e597-e607. doi: 10.1016/j.wneu.2018.01.095
57. Yang D., Shen J., Xia X., Lin Y., Yang T., Lin H. et al. Preoperative evaluation of neurovascular relationship in trigeminal neuralgia by three-dimensional fast low angle shot (3D-FLASH) and three-dimensional constructive interference in steady-state (3D-CISS) MRI sequence. Br J Radiol. 2018;91(1085):20170557. doi: 10.1259/bjr.20170557
58. Yao S., Zhang J., Zhao Y., Hou Y., Xu X., Zhang Z. et al. Multimodal Image-Based Virtual Reality Presurgical Simulation and Evaluation for Trigeminal Neuralgia and Hemifacial Spasm. World Neurosurg. 2018;113:e499-e507. doi: 10.1016/j.wneu.2018.02.069
59. Shapey J., Vos S.B., Vercauteren T., Bradford R., Saeed S.R., Bisdas S. et al. Clinical Applications for Diffusion MRI and Tractography of Cranial Nerves Within the Posterior Fossa: A Systematic Review. Front Neurosci. 2019;13:23. doi: 10.3389/fnins.2019.00023
60. Gospodarev V., Chakravarthy V., Harms C., Myers H., Kaplan B., Kim E. et al. Computed Tomography Cisternography for Evaluation of Trigeminal Neuralgia When Magnetic Resonance Imaging Is Contraindicated: Case Report and Review of the Literature. World Neurosurg. 2018;113:180-183. doi: 10.1016/j.wneu.2018.02.066
61. Балязина Е.В. Компьютерная ангиография в диагностике нейроваскулярного конфликта у больных классической невралгией тройничного нерва. Нейрохирургия. 2010;(4):46- 49. eLIBRARY ID: 16445554.
62. Балязина Е.В. Классическая невралгия тройничного нерва. Новочеркасск, Лик; 2015:278. eLIBRARY ID: 32713331
63. Baliazin V.A., Baliazina E.V., Aksenov D.P. Computed Tomography in the Diagnosis of Classical Trigeminal Neuralgia. J Comput Assist Tomogr. 2017;41(4):521-527. doi: 10.1097/RCT.0000000000000567
64. Балязина Е.В., Балязин В.А., Исаханова Т.А., Бондарева О.И., Балязин-Парфенов И.В., Кадян Н.Г. Физический механизм формирования двух типов нейроваскулярного конфликта у больных классической невралгией тройничного нерва. Неврологический журнал. 2017;(4):190-197. doi: 10.18821/1560-9545-2017-22-4-190-197
65. Baliazina E. Etio Pathogenesis of Trigeminal Neuralgia. In: Ovallath S., editors. Textbook of Trigeminal Neuralgia. Hauppauge: Nova Science Publisher, New York;2020:Chapter 3:48-85. ISBN: 978-1-53618-130-2
Review
For citations:
Baliazina E.V., Evusyak O.M., Baliazin V.A., Kadyan N.G. The role of neurovascular conflict in the pathogenesis of classical trigeminal neuralgia and the dynamics of approaches to its visualization. South Russian Journal of Therapeutic Practice. 2021;2(1):24-31. (In Russ.) https://doi.org/10.21886/2712-8156-2021-2-1-24-31