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Long-term pain outcomes in trigeminal neuralgia patients with concomitant continuous pain: a comparison of first-time microvascular decompression and percutaneous balloon compression

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References

  1. Maarbjerg S, Di Stefano G, Bendtsen L, Cruccu G (2017) Trigeminal neuralgia – diagnosis and treatment. Cephalalgia 37:648–657. https://doi.org/10.1177/0333102416687280

    Article  PubMed  Google Scholar 

  2. Burchiel KJ (2003) A new classification for facial pain. Neurosurg 53:1164–1166. https://doi.org/10.1227/01.neu.0000088806.11659.d8

    Article  Google Scholar 

  3. Maarbjerg S, Gozalov A, Olesen J, Bendtsen L (2014) Concomitant persistent pain in classical trigeminal neuralgia--evidence for different subtypes. Headache 54:1173–1183. https://doi.org/10.1111/head.12384

    Article  PubMed  Google Scholar 

  4. Burchiel KJ, Slavin KV (2000) On the natural history of trigeminal neuralgia. Neurosurgery. 46:152–154

    Article  PubMed  CAS  Google Scholar 

  5. Zakrzewska JM, Wu J, Mon-Williams M, Phillips N, Pavitt SH (2017) Evaluating the impact of trigeminal neuralgia. Pain 158:1166–1174. https://doi.org/10.1097/j.pain.0000000000000853

    Article  PubMed  Google Scholar 

  6. Olesen J (2018) Headache classification committee of the International Headache Society (IHS) the international classification of headache disorders. CEPHALALGIA 38:1–211. https://doi.org/10.1177/0333102417738202

    Article  Google Scholar 

  7. Cruccu G, Biasiotta A, Galeotti F, Iannetti GD, Innocenti P, Romaniello A, Truini A (2006) Diagnosis of trigeminal neuralgia: a new appraisal based on clinical and neurophysiological findings. Suppl Clin Neurophysiol 58:171–186. https://doi.org/10.1016/s1567-424x(09)70067-4

    Article  PubMed  CAS  Google Scholar 

  8. Di Stefano G, Truini A, Cruccu G (2018) Current and Innovative Pharmacological Options to Treat Typical and Atypical Trigeminal Neuralgia. Drugs 78:1433–1442. https://doi.org/10.1007/s40265-018-0964-9

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  9. Tyler-Kabara EC, Kassam AB, Horowitz MH, Urgo L, Hadjipanayis C, Levy EI, Chang YF (2002) Predictors of outcome in surgically managed patients with typical and atypical trigeminal neuralgia: comparison of results following microvascular decompression. J Neurosurg 96:527–531. https://doi.org/10.3171/jns.2002.96.3.0527

    Article  PubMed  Google Scholar 

  10. Bendtsen L, Zakrzewska JM, Abbott J, Braschinsky M, Di Stefano G, Donnet A, Eide PK, Leal PRL, Maarbjerg S, May A, Nurmikko T, Obermann M, Jensen TS, Cruccu G (2019) European Academy of Neurology guideline on trigeminal neuralgia. Eur J Neurol 26:831–849. https://doi.org/10.1111/ene.13950

    Article  PubMed  CAS  Google Scholar 

  11. Noorani I, Lodge A, Durnford A, Vajramani G, Sparrow O (2021) Comparison of first-time microvascular decompression with percutaneous surgery for trigeminal neuralgia: long-term outcomes and prognostic factors. Acta Neurochir (Wien) 163:1623–1634. https://doi.org/10.1007/s00701-021-04793-4

    Article  PubMed  Google Scholar 

  12. Wu J, Xiao Y, Chen B, Zhang R, Dai M, Zhang Y (2022) Efficacy and safety of microvascular decompression versus percutaneous balloon compression in the treatment of trigeminal neuralgia: a systematic review and meta-analysis. Ann Palliat Med 11:1391–1400. https://doi.org/10.21037/apm-21-3901

    Article  PubMed  Google Scholar 

  13. Ni H, Wang Y, Chen X, Gu W (2020) Outcomes of treatment for elderly patients with trigeminal neuralgia: percutaneous balloon compression versus microvascular decompression. J Craniofac Surg 31:e685–e688. https://doi.org/10.1097/SCS.0000000000006544

    Article  PubMed  Google Scholar 

  14. Chen JN, Yu WH, Du HG, Jiang L, Dong XQ, Cao J (2018) Prospective comparison of redo microvascular decompression and percutaneous balloon compression as primary surgery for recurrent trigeminal neuralgia. J Korean Neurosurg Soc 61:747–752. https://doi.org/10.3340/jkns.2017.0196

    Article  PubMed  PubMed Central  Google Scholar 

  15. Sindou M, Leston J, Howeidy T, Decullier E, Chapuis F (2006) Micro-vascular decompression for primary Trigeminal Neuralgia (typical or atypical). Long-term effectiveness on pain; prospective study with survival analysis in a consecutive series of 362 patients. Acta Neurochir (Wien) 148:1235–1245. https://doi.org/10.1007/s00701-006-0809-2

    Article  PubMed  CAS  Google Scholar 

  16. Huang CW, Yang MY, Cheng WY, Pan SY, Wang CL, Lai WY, Lin TW, Liu SY, Huang YF, Lai CM, Shen CC (2022) Predictive and prognostic factors for outcome of microvascular decompression in trigeminal neuralgia. J Chin Med Assoc 85:198–203. https://doi.org/10.1097/JCMA.0000000000000667

    Article  PubMed  CAS  Google Scholar 

  17. Panczykowski DM, Jani RH, Hughes MA, Sekula RF (2020) Development and Evaluation of a Preoperative Trigeminal Neuralgia Scoring System to Predict Long-Term Outcome Following Microvascular Decompression. Neurosurg 87:71–79. https://doi.org/10.1093/neuros/nyz376

    Article  Google Scholar 

  18. Zhang H, Lei D, You C, Mao BY, Wu B, Fang Y (2013) The long-term outcome predictors of pure microvascular decompression for primary trigeminal neuralgia. World Neurosurg 79:756–762. https://doi.org/10.1016/j.wneu.2012.01.040

    Article  PubMed  Google Scholar 

  19. Mullan S, Lichtor T (1983) Percutaneous microcompression of the trigeminal ganglion for trigeminal neuralgia. J Neurosurg 59:1007–1012. https://doi.org/10.3171/jns.1983.59.6.1007

    Article  PubMed  CAS  Google Scholar 

  20. Kourilsky A, Palpacuer C, Rogers A, Chauvet D, Wiart C, Bourdillon P, Le Guérinel C (2022) Multivariate models to predict pain recurrence and sensitive complications after percutaneous balloon compression in trigeminal neuralgia. J Neurosurg 22:1–10. https://doi.org/10.3171/2022.2.JNS212644

    Article  Google Scholar 

  21. Zakrzewska JM (2010) Medical management of trigeminal neuropathic pains. Expert Opinion Pharmacother 11(8):1239–1254

    Article  CAS  Google Scholar 

  22. Unal TC, Unal OF, Barlas O, Hepgul K, Ali A, Aydoseli A, Aras Y, Sabanci PA, Sencer A, Izgi N (2017) Factors Determining the Outcome in Trigeminal Neuralgia Treated With Percutaneous Balloon Compression. World Neurosurg 107:69–74. https://doi.org/10.1016/j.wneu.2017.07.132

    Article  PubMed  Google Scholar 

  23. Sterman-Neto H, Fukuda CY, Duarte KP, Aparecida da Silva V, Rodrigues ALL, Galhardoni R, de Siqueira SRDT, de Siqueira JTT, Teixeira MJ, Ciampi de Andrade D (2021) Balloon compression vs radiofrequency for primary trigeminal neuralgia: a randomized, controlled trial. Pain 162:919–929. https://doi.org/10.1097/j.pain.0000000000002070

    Article  PubMed  CAS  Google Scholar 

  24. Li MW, Jiang XF, Niu CS (2021) Efficacy of and risk factors for percutaneous balloon compression for trigeminal neuralgia in elderly patients. Br J Neurosurg 35:280–284. https://doi.org/10.1080/02688697.2020.1787341

    Article  PubMed  Google Scholar 

  25. Greve T, Tonn JC, Mehrkens JH (2021) Microvascular decompression for trigeminal neuralgia in the elderly: efficacy and safety. J Neurol 268:532–540. https://doi.org/10.1007/s00415-020-10187-w

    Article  PubMed  Google Scholar 

  26. Raygor KP, Lee AT, Nichols N, Wang DD, Ward MM, Barbaro NM, Chang EF (2020) Long-term pain outcomes in elderly patients with trigeminal neuralgia: comparison of first-time microvascular decompression and stereotactic radiosurgery. Neurosurg Focus 49:E23. https://doi.org/10.3171/2020.7.FOCUS20446

    Article  PubMed  Google Scholar 

  27. Zakrzewska JM, Jassim S, Bulman SJ (1999) A prospective, longitudinal study on patients with trigeminal neuralgia who underwent radiofrequency thermocoagulation of the Gasserian ganglion. Pain 79:51–58. https://doi.org/10.1016/S0304-3959(98)00145-6

    Article  PubMed  Google Scholar 

  28. Holste K, Chan AY, Rolston JD, Englot DJ (2020) Pain Outcomes Following Microvascular Decompression for Drug-Resistant Trigeminal Neuralgia: A Systematic Review and Meta-Analysis. Neurosurg 86:182–190. https://doi.org/10.1093/neuros/nyz075

    Article  Google Scholar 

  29. Grewal SS, Kerezoudis P, Garcia O, Quinones-Hinojosa A, Reimer R, Wharen RE (2018) Results of percutaneous balloon compression in trigeminal pain syndromes. World Neurosurg 114:e892–e899. https://doi.org/10.1016/j.wneu.2018.03.111

    Article  PubMed  Google Scholar 

  30. Kouzounias K, Schechtmann G, Lind G, Winter J, Linderoth B (2010) Factors that influence outcome of percutaneous balloon compression in the treatment of trigeminal neuralgia. Neurosurg 67:925–934. https://doi.org/10.1227/NEU.0b013e3181eb5230

    Article  Google Scholar 

  31. Mizuno M, Saito K, Takayasu M, Yoshida J (2000) Percutaneous microcompression of the trigeminal ganglion for elderly patients with trigeminal neuralgia and patients with atypical trigeminal neuralgia. Neurol Med Chir (Tokyo) 40:347–350. https://doi.org/10.2176/nmc.40.347

    Article  PubMed  CAS  Google Scholar 

  32. Li ST, Wang X, Pan Q, Hai J, Liu N, Shen F, Liu Z, Guan Y (2005) Studies on the operative outcomes and mechanisms of microvascular decompression in treating typical and atypical trigeminal neuralgia. Clin J Pain 21:311–316. https://doi.org/10.1097/01.ajp.0000120790.69705.5b

    Article  PubMed  Google Scholar 

  33. Hai J, Li ST, Pan QG (2006) Treatment of atypical trigeminal neuralgia with microvascular decompression. Neurol India 54:53–56. https://doi.org/10.4103/0028-3886.24706

    Article  PubMed  Google Scholar 

  34. Brisman R (2013) Typical versus atypical trigeminal neuralgia and other factors that may affect results of neurosurgical treatment. World Neurosurg 79:649–650. https://doi.org/10.1016/j.wneu.2012.02.047

    Article  PubMed  Google Scholar 

  35. De Stefano G, Leone C, Di Pietro G, Esposito N, Falco P, Galosi E, Litewczuk D, Mollica C, Truini A, Di Stefano G (2022) Unravelling the role of unmyelinated nerve fibres in trigeminal neuralgia with concomitant continuous pain. Clin Neurophysiol 142:52–58. https://doi.org/10.1016/j.clinph.2022.07.502

    Article  PubMed  Google Scholar 

  36. Di Stefano G, De Stefano G, Leone C, Cruccu G, Tardioli S, Cartocci G, Fiorelli M, Truini A, Caramia F (2020) Concomitant continuous pain in patients with trigeminal neuralgia is associated with trigeminal nerve root atrophy. Cephalalgia 40:1502–1510. https://doi.org/10.1177/0333102420949206

    Article  PubMed  Google Scholar 

  37. Younis S, Maarbjerg S, Reimer M, Wolfram F, Olesen J, Baron R, Bendtsen L (2016) Quantitative sensory testing in classical trigeminal neuralgia-a blinded study in patients with and without concomitant persistent pain. Pain 157:1407–1414. https://doi.org/10.1097/j.pain.0000000000000528

    Article  PubMed  Google Scholar 

  38. Li S, Liao C, Qian M, Yang X, Zhang W (2022) Narrow ovale foramina may be involved in the development of primary trigeminal neuralgia. Front Neurol 11:1013216. https://doi.org/10.3389/fneur.2022.1013216

    Article  Google Scholar 

  39. Shankland WE (1993) Trigeminal Neuralgia: Typical or Atypical? CRANIO® 11:108–112. https://doi.org/10.1080/08869634.1993.11677951

    Article  PubMed  Google Scholar 

  40. Hu W, Zhang K, Zhang J (2010) Atypical trigeminal neuralgia: A consequence of central sensitization? Med. Hypotheses 75:65–66. https://doi.org/10.1016/j.mehy.2010.01.028

    Article  PubMed  Google Scholar 

  41. Zacest AC, Magill ST, Miller J, Burchiel KJ (2010) Preoperative magnetic resonance imaging in Type 2 trigeminal neuralgia. J Neurosurg 113:511–515. https://doi.org/10.3171/2009.12.JNS09977

    Article  PubMed  Google Scholar 

  42. Zhao Y, Chen J, Jiang R, Xu X, Lin L, Xue Y, Duan Q (2022) MRI features of responsible contacts in vascular compressive trigeminal neuralgia and prediction modeling. Acta Radiol 63:100–109. https://doi.org/10.1177/0284185120983971

    Article  PubMed  Google Scholar 

  43. Brînzeu A, Drogba L, Sindou M (2018) Reliability of MRI for predicting characteristics of neurovascular conflicts in trigeminal neuralgia: implications for surgical decision making. J Neurosurg 1:1–11. https://doi.org/10.3171/2017.8.JNS171222

    Article  Google Scholar 

  44. Mooney J, Erickson N, Pittman B, Agee BS, Guthrie BL (2021) The Use of MRI in Preoperative Decision-Making for Trigeminal Neuralgia: A Single-Center Study. World Neurosurg 146:e651–e657. https://doi.org/10.1016/j.wneu.2020.10.146

    Article  PubMed  Google Scholar 

  45. Ferroli P, Acerbi F, Tomei M, Tringali G, Franzini A, Broggi G (2010) Advanced age as a contraindication to microvascular decompression for drug-resistant trigeminal neuralgia: evidence of prejudice? Neurol Sci 31:23–28. https://doi.org/10.1007/s10072-009-0156-1

    Article  PubMed  Google Scholar 

  46. Sekula RF Jr, Frederickson AM, Jannetta PJ, Quigley MR, Aziz KM, Arnone GD (2011) Microvascular decompression for elderly patients with trigeminal neuralgia: a prospective study and systematic review with meta-analysis. J Neurosurg 114:172–179. https://doi.org/10.3171/2010.6.JNS10142

    Article  PubMed  Google Scholar 

  47. Yang DB, Wang ZM, Jiang DY, Chen HC (2014) The efficacy and safety of microvascular decompression for idiopathic trigeminal neuralgia in patients older than 65 years. J Craniofac Surg 25:1393–1396. https://doi.org/10.1097/scs.0000000000000869

    Article  PubMed  PubMed Central  Google Scholar 

  48. Sandel T, Eide PK (2013) Long-term results of microvascular decompression for trigeminal neuralgia and hemifacial spasms according to preoperative symptomatology. Acta Neurochir (Wien) 155:1681–1692. https://doi.org/10.1007/s00701-013-1816-8

    Article  PubMed  Google Scholar 

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Shuo Li: this author helped to collect, assemble, and analyse the data, and write the manuscript. Guo Cheng: this author helped to collect and assemble the data. Chenlong Liao: this author helped to conceive, design, and examine the manuscript. Yiwei Wu: this author helped to conceive and design. Wenchuan Zhang: this author helped to conceive, design, and examine the manuscript.

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Li, S., Cheng, G., Wu, Y. et al. Long-term pain outcomes in trigeminal neuralgia patients with concomitant continuous pain: a comparison of first-time microvascular decompression and percutaneous balloon compression. Neurosurg Rev 46, 183 (2023). https://doi.org/10.1007/s10143-023-02089-y

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