Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2024 May;17(5):462-470.
doi: 10.25122/jml-2024-0040.

Trigeminal neuralgia caused by venous compression: a comprehensive literature review

Abdallah Alzeeralhouseini  1 , Galina Moisak  1   2   3 , Ekaterina Labzina  2 , Jamil Rzaev  1   2   3
Affiliations
Review

Trigeminal neuralgia caused by venous compression: a comprehensive literature review

Abdallah Alzeeralhouseini et al. J Med Life. 2024 May.

Abstract

Trigeminal neuralgia (TN), a severe facial pain condition, is often treated with microvascular decompression (MVD). While MVD is effective for arterial neurovascular compression, its efficacy in cases of venous compression and the intraoperative management of such cases remain areas of debate. This review aimed to analyze the intraoperative management strategies for offending veins during MVD and evaluate the outcomes of these procedures in cases of TN with purely venous compression. An extensive review of studies reporting on the intraoperative handling of veins and the surgical outcomes of MVD in purely venous compression cases was conducted. Fifteen full-text studies were included, encompassing a total of 600 patients. Notably, 82.33% of these patients achieved a Barrow Neurological Institute (BNI) I pain score, with follow-up periods ranging from 3 months to 12 years. MVD is a viable and effective treatment option for TN in cases of venous compression, with a significant proportion of patients experiencing substantial pain relief.

Keywords: microvascular decompression; pain management; surgical outcomes; trigeminal neuralgia; venous compression.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Study selection process
See this image and copyright information in PMC

References

    1. Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition (beta version) Cephalalgia. 2013;33(9):629–808. doi: 10.1177/0333102413485658. - DOI - PubMed
    1. Zakrzewska JM, Wu J, Mon-Williams M, Phillips N, Pavitt SH. Evaluating the impact of trigeminal neuralgia. Pain. 2017;158(6):1166–1174. doi: 10.1097/j.pain.0000000000000853. - DOI - PubMed
    1. Tölle T, Dukes E, Sadosky A. Patient burden of trigeminal neuralgia: results from a cross-sectional survey of health state impairment and treatment patterns in six European countries. PainPract. 2006;6(3):153–60. doi: 10.1111/j.1533-2500.2006.00079.x. - DOI - PubMed
    1. De Toledo IP, Conti Réus J, Fernandes M, Porporatti AL, Peres MA, Takaschima A, et al. Prevalence of trigeminal neuralgia: A systematic review. J Am Dent Assoc. 2016;147(7):570–576.e2. doi: 10.1016/j.adaj.2016.02.014. - DOI - PubMed
    1. Eller JL, Raslan AM, Burchiel KJ. Trigeminal neuralgia: definition and classification. NeurosurgFocus. 2005;18(5):E3. doi: 10.3171/foc.2005.18.5.4. - DOI - PubMed

LinkOut - more resources