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http://dx.doi.org/10.3340/jkns.2022.0004

Neuromodulation for Trigeminal Neuralgia  

Chung, Moonyoung (Department of Neurosurgery, Soonchunhyang University Bucheon Hospital, Soonchunhayng University College of Medicine)
Huh, Ryoong (Department of Neurosurgery, Incheon St. Mary's Hospital, The Catholic University of Korea)
Publication Information
Journal of Korean Neurosurgical Society / v.65, no.5, 2022 , pp. 640-651 More about this Journal
Abstract
Clinical studies on neuromodulation intervention for trigeminal neuralgia have not yet shown promising results. This might be due to the fact that the pathophysiology of chronic trigeminal neuropathy is not yet fully understood. Chronic trigeminal neuropathy includes trigeminal autonomic neuropathy, painful trigeminal neuropathy, and persistent idiopathic facial pain. This disorder is caused by complex abnormalities in the pain processing system, which is comprised of the affective, emotional, and sensory components, rather than mere abnormal sensation. Therefore, integrative understanding of the pain system is necessary for appropriate neuromodulation of chronic trigeminal neuropathy. The possible neuromodulation targets that participate in complex pain processing are as follows : the ventral posterior medial nucleus, periaqueductal gray, motor cortex, nucleus accumbens, subthalamic nucleus, globus pallidus internus, anterior cingulate cortex, hypothalamus, sphenopalatine ganglion, and occipital nerve. In conclusion, neuromodulation interventions for trigeminal neuralgia is yet to be elucidated; future advancements in this area are required.
Keywords
Trigeminal neuralgia; Trigeminal caudal nucleus; Deep brain stimulation; Facial pain;
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