JBiSE  Vol.6 No.3 A , March 2013
Significance and utility of MR cisternography for diagnosis and treatment of trigeminal neuralgia
ABSTRACT

This review article provides doctors and dentists with an introduction to the clinical applications and sig- nificance of magnetic resonance cisternography (MRC) for the evaluation of neurovascular compression of the trigeminal nerve in patients with trigeminal neu- ralgia (TN). Specifically, the method and characteris- tics of MRC are first explained using the relevant MR sequences. Next, clinical applications for the diagnosis of TN are discussed. Finally, the significance and util- ity of MRC for effective treatment of patients with TN, such as carbamazepine administration and/or local anesthetic blocks, are presented.


Cite this paper
Tanaka, T. , Shiiba, S. , Sakamoto, E. , Oda, M. , Kito, S. , Ono, K. , Wakasugi-Sato, N. , Matsumoto-Takeda, S. , Seta, Y. , Imamura, Y. , Watanabe, S. , Inenaga, K. and Morimoto, Y. (2013) Significance and utility of MR cisternography for diagnosis and treatment of trigeminal neuralgia. Journal of Biomedical Science and Engineering, 6, 365-371. doi: 10.4236/jbise.2013.63A046.
References
[1]   Barker, F.G., Janetta, P.J., Bissonette, D.J., Larkins, M.V. and Jho, H.D. (1996) The long-term outcome of micro-vascular decompression for trigeminal neuralgia. The New England Journal of Medicine, 334, 1077-1083. doi:10.1056/NEJM199604253341701

[2]   Kondo, A. (1997) Follow-up results of microvascular decompression in trigeminal neuralgia and hemifacial spasm. Neurosurgery, 40, 46-51.

[3]   Van Loveren, H., Tew, J.M., Keller, J.T. and Nurre, M.A. (1982) A 10-year experience in the treatment of trigeminal neuralgia. Journal of Neurosurgery, 57, 757-764. doi:10.3171/jns.1982.57.6.0757

[4]   Boecher-Schwarz, H.G., Bruehl, K., Kessel, G., Guenthner, M., Perneczky, A. and Stoeter, P. (1998) Sensitivity and specificity of MRA in the diagnosis of neurovascular compression in patients with trigeminal neuralgia: A correlation of MRA and surgical findings. Neuroradiology, 40, 88-95. doi:10.1007/s002340050546

[5]   Kumon, Y., Sasaki, S., Kohno, K., Ohta, S., Ohue, S. and Miki, H. (1997) Three-dimensional imaging for presentation of the causative vessels in patients with hemifacial spasm and trigeminal neuralgia. Surgical Neurology, 47, 178-184. doi:10.1016/S0090-3019(96)00364-3

[6]   Majoie, C.B., Hulsmans, F.J., Verbeeten, Jr., B., Castelijns, J.A., van Beek, E.J., Valk, J. and Bosch, D.A. (1997) Trigeminal neuralgia: Comparison of two MR imaging techniques in the demonstration of neurovascular contact. Radiology, 204, 455-460.

[7]   Tanaka, T., Morimoto, Y., Shiiba, S., Sakamoto, E., Kito, S., Matsufuji, Y., Nakanishi, O. and Ohba, T. (2005) Utility of magnetic resonance cisternography using three- dimensional fast asymmetric spin-echo sequences with multiplanar reconstruction: The evaluation of sites of neurovascular compression of the trigeminal nerve. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, 100, 215-225.

[8]   Tanaka, T., Sakamoto, E., Shiiba, S., Oda, M., Kito, S., Wakasugi-Sato, N., Matsumoto-Takeda, S., Imamura, Y., Nakanishi, O. and Morimoto, Y. (2009) Relationship between the curative effects of carbamazepine administration and neurovascular compression volume of the trigeminal nerve measured using magnetic resonance cis-ternography. Clinical Journal of Pain, 25, 752-759. doi:10.1097/AJP.0b013e3181ada29c

[9]   Yoshino, N., Akimoto, H., Yamada, I., Nagaoka, T., Tetsumura, A., Kurabayashi, T., Honda, E., Nakamura, S. and Sasaki, T. (2003) Trigeminal neuralgia: Evaluation of neuralgic manifestation and site of neurovascular compression with 3D CISS MR imaging and MR angiography. Radiology, 228, 539-545. doi:10.1148/radiol.2282020439

[10]   Akimoto, H., Nagaoka, T., Nariai, T., Takada, Y., Ohno, K. and Yoshino, N. (2002) Preoperative evaluation of neurovascular compression in patients with trigeminal neuralgia by use of three-dimensional reconstruction from two types of high-resolution magnetic resonance imaging. Neurosurgery, 51, 956-961.

[11]   Yamakami, I., Kobayashi, E., Hirai, S. and Yamaura, A. (2000) Preoperative assessment of trigeminal neuralgia and hemifacial spasm using constructive interference in steady state-three-dimensional Fourier transformation magnetic resonance imaging. Neurologia Medico-Chirurgica, 40, 545-555. doi:10.2176/nmc.40.545

[12]   Schmitz, S.A., Hohenbleicher, H., Koennecke, H.C., Offermann, R., Offermann, J., Branding, G., Wolf, K.J., Distler, A. and Sharma, A.M. (1999) Neurogenic hypertension. A new MRI protocol for the evaluation of neu-rovascular compression of the cranial nerves IX and X root-entry zone. Investigative Radiology, 34, 774-780. doi:10.1097/00004424-199912000-00007

[13]   Shiiba, S., Tanaka, T., Sakamoto, E., Oda, M., Kito, S., Ono, K., Wakasugi-Sato, N., Matsumoto-Takeda, S., Seta, Y., Imamura, Y., Nakanishi, O., Inenaga, K. and Morimoto, Y. (2012) Can the neurovascular compression volume of the trigeminal nerve on MR cisternography predict the success of local anesthetic block after initial treatment by the carbamazepine? Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, in press.

[14]   Radwan, I.A., Saito, S. and Goto, F. (2001) High-concentration tetracaine for the management of trigeminal neuralgia: Quantitative assessment of sensory function after peripheral nerve block. Clinical Journal of Pain, 17, 323-326. doi:10.1097/00002508-200112000-00006

[15]   Goto, F., Ishizaki, K., Yoshikawa, D., Obata, H., Arii, H. and Terada, M. (1999) The long lasting effects of periph-eral nerve blocks for trigeminal neuralgia using high concentration of tetracaine dissolved in bupivacaine. Pain, 79, 101-103. doi:10.1016/S0304-3959(98)00156-0

[16]   Naganawa, S., Koshikawa, T., Fukatsu, H., Ishigaki, T. and Fukuta, T. (2001) MR cisternography of the cerebel-lopontine angle: Comparison of three-dimensional fast asymmetrical spin-echo and three-dimensional constructive interference in the steady-state sequences. American Journal of Neuroradiology, 22, 1179-1185.

[17]   Tsuchiya, K., Yamakami, N., Hachiya, J. and Kassai, Y. (1998) MR cisternography using a three-dimensional half-Fourier single-shot fast spin-echo sequence. European Radiology, 8, 424-426. doi:10.1007/s003300050405

[18]   Nakamura, T., Naganawa, S., Koshikawa, T., Fukatsu, H., Sakurai, Y., Aoki, I., Ninomiya, A. and Ishigaki, T. (2002) High-spatial-resolution MR cisternography of the cere-bellopontine angle in 90 seconds with a zero-fill interpolated fast recovery 3D fast asymmetric spin-echo sequence. American Journal of Neuroradiology, 23, 1407-1412.

[19]   Tsunoda, A., Mitsuoka, H., Sato, K. and Kanayama, S. (2000) A quantitative index of intracranial cerebrospinal fluid distribution in normal pressure hydrocephalus using an MRI-based processing technique. Neuroradiology, 42, 424-429. doi:10.1007/s002349900241

[20]   Morimoto, Y., Tanaka, T., Yoshioka, I., Masumi, S., Yamashita, M. and Ohba, T. (2002) Virtual endoscopic view of salivary gland ducts using MR sialography data from three-dimensional fast asymmetric spin-echo (3D-FASE) sequences: A preliminary study. Oral Diseases, 8, 268- 274. doi:10.1034/j.1601-0825.2002.01819.x

[21]   Morimoto, Y., Tanaka, T., Tominaga, K., Yoshioka, I., Kito, S. and Ohba, T. (2004) Clinical application of MR sialographic 3D-reconstruction imaging and MR virtual endoscopy for salivary gland duct analysis. Journal of Oral and Maxillofacial Surgery, 62, 1237-1245. doi:10.1016/j.joms.2003.12.035

[22]   Adamek, H.E., Albert, J., Breer, H., Weitz, M., Schilling, D. and Riemann, J.F. (2000) Pancreatic cancer detection with magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography: A prospective controlled study. Lancet, 356, 190-193. doi:10.1016/S0140-6736(00)02479-X

[23]   Neri, E., Boraschi, P., Braccini, G., Caramella, D., Perri, G. and Bartolozzi, C. (1999) MR virtual endoscopy of pancreaticobiliary tract. Magnetic Resonance Imaging, 17, 59-67. doi:10.1016/S0730-725X(98)00127-1

[24]   Yamakawa, K., Naganawa, S., Maruyama, K., Kato, T., Fukatsu, H. and Ishigaki, T. (1999) Clinical evaluation of three-dimensional MR-cholangiopancreatography using three-dimensional Fourier transform fast asymmetric spin echo method (3DFT-FASE): Usefulness of observation by multiplanar reconstruction. Radiation Medicine, 17, 15- 19.

[25]   El Gamma, T. and Brooks, B.S. (1994) MR cisternography: Initial experience in 41 cases. American Journal of Neuroradiology, 15, 1647-1656.

[26]   El Gammal, T., Sobol, W., Wadlington, V.R., Sillers, M.J., Crews, C., Fisher, III, W.S. and Lee, J.Y. (1998) Cerebrospinal fluid fistula: Detection with MR cisternography. American Journal of Neuroradiology, 19, 627- 631.

[27]   Mamata, Y., Muro, I., Matsumae, M., Komiya, T., Toyama, H., Tsugane, R. and Sato, O. (1998) Magnetic resonance cisternography for visualization of intracranial fine structures. Journal of Neurosurgery, 88, 670-678. doi:10.3171/jns.1998.88.4.0670

[28]   Worthington, C., Hutson, K., Boulware, R., Neglia, W., Gibbons, J.P., Clark, R. and Rand, J. (2000) Computerized tomography cisternography of the trigeminal nerve for stereotactic radiosurgery. Case report. Journal of Neurosurgery, 93, 169-171.

[29]   Gudmundsson, K., Rhoton, Jr., A.L. and Rushton, J.G. (1971) Detailed anatomy of the intracranial portion of the trigeminal nerve. Journal of Neurosurgery, 35, 592-600. doi:10.3171/jns.1971.35.5.0592

[30]   Sindou, M., Leston, J., Decullier, E. and Chapuis, F. (2007) Microvascular decompression for primary trigeminal neuralgia: Long-term effectiveness and prognostic factors in a series of 362 consecutive patients with clear-cut neurovascular conflicts who underwent pure decompression. Journal of Neurosurgery, 107, 1144-1153. doi:10.3171/JNS-07/12/1144

[31]   Sindou, M., Howeidy, T. and Acevedo, G. (2002) Anatomical observations during microvascular decompression for idiopathic trigeminal neuralgia (with correlations between topography of pain and site of the neurovascular conflict). Prospective study in a series of 579 patients. Acta Neurochirurgica, 144, 1-12. doi:10.1007/s701-002-8269-4

[32]   Cruccu, G., Gronseth, G., Alksne, J., Argoff, C., Brainin, M., Burchiel, K., Nurmikko, T. and Zakrzewska, J.M. (2008) American Academy of Neurology Society; European Federation of Neurological Society. AAN-EFNS guidelines on trigeminal neuralgia management. European Journal of Neurology, 15, 1013-1028. doi:10.1111/j.1468-1331.2008.02185.x

[33]   Jorns, T.P. and Zakrzewska, J.M. (2007) Evidence-based approach to the medical management of trigeminal neuralgia. British Journal of Neurosurgery, 21, 253-261. doi:10.1080/02688690701219175

[34]   Hvidberg, E.F. and Dam, M. (1976) Clinical pharma- cokinetics of anticonvulsants. Clinical Pharmacokinetics, 1, 161-188. doi:10.2165/00003088-197601030-00001

[35]   Bertilsson, L. (1978) Clinical pharmacokinetics of car-bamazepine. Clinical Pharmacokinetics, 3, 128-143. doi:10.2165/00003088-197803020-00003

[36]   Rozen, T.D. (2001) Antiepileptic drugs in the management of cluster headache and trigeminal neuralgia. Headache, 41, S25-S32. doi:10.1046/j.1526-4610.2001.01154-5.x

[37]   Peters, G. and Nurmikko, T.J. (2002) Peripheral and gas-serian ganglion-level procedures for the treatment of trigeminal neuralgia. Clinical Journal of Pain, 18, 28-34. doi:10.1097/00002508-200201000-00005

 
 
Top