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Balyazin V.A.

Rostov State Medical University

Balyazina E.V.

Rostov State Medical University

Zykova O.M.

Rostov State Medical University

Kravchik K.P.

Rostov State Medical University

Afanasyeva A.V.

Rostov State Medical University

Topographic and anatomical features of cranial bones in patients with classical trigeminal neuralgia

Authors:

Balyazin V.A., Balyazina E.V., Zykova O.M., Kravchik K.P., Afanasyeva A.V.

More about the authors

Journal: Russian Journal of Pain. 2025;23(3): 33‑41

DOI: 10.17116/pain20252303133

Read: 381 times

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Table of contents

TOPOGRAPHIC AND ANATOMICAL FEATURES OF CRANIAL BONES IN PATIENTS WITH CLASSICAL TRIGEMINAL NEURALGIA
TOPOGRAPHIC AND ANATOMICAL FEATURES OF CRANIAL BONES IN PATIENTS WITH CLASSICAL TRIGEMINAL NEURALGIA

To cite this article:

Balyazin VA, Balyazina EV, Zykova OM, Kravchik KP, Afanasyeva AV. Topographic and anatomical features of cranial bones in patients with classical trigeminal neuralgia. Russian Journal of Pain. 2025;23(3):33‑41. (In Russ.)
https://doi.org/10.17116/pain20252303133

Подписка 2025 Российский журнал боли (Russian Journal of Pain)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Recommended articles:
Surgical treatment of seco­ndary trigeminal neuralgia. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(11):203-209
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Origins of trigeminal neuralgia surgery (standing on the shoulders of giants). Burdenko's Journal of Neurosurgery. 2025;(5):103-108
Origins of trigeminal neuralgia surgery (era of microvascular deco­mpression). Burdenko's Journal of Neurosurgery. 2025;(5):109-114
Abstract:

OBJECTIVE

To study the topographic and anatomical features of cranial bones, craniocervical region and upper cerebellar arteries in patients with classical trigeminal neuralgia (CTN) using 3D CT angiography.

MATERIAL AND METHODS

The study was conducted at the Rostov State Medical University between January and November 2024. There were 32 patients with classical trigeminal neuralgia aged 56—77 years (experimental group), as well as 15 people without pain syndrome (control group). Diagnostic measures included collection of complaints, anamnesis, neurological examination, neuroimaging (MRI), 3D CT angiography. Differences were significant at p<0.05.

RESULTS

Craniocervical features in patients with CTN include predominant higher location of the right apex of petrous temporal bone (71.8%), coinciding sides of pain paroxysms and superior petrous temporal bone (28.2%) (p=0.001), pattern A of skull base bone arrangement (65.6%) (p=0.001): ventrocaudolateral slope of superior petrous temporal bone and dorsorostromedial slope of contralateral bone, lateralization of central point of sella turcica towards the underlying petrous temporal bone, asymmetric arrangement of major sphenoid wings with more dorsal and caudal position on the side of the underlying petrous temporal bone, lateral rotation of the occipital bone, changed ratio of the occipital bone, C1, C2 (28.1%).

CONCLUSION

Further research is needed to improve prediction and therapy of classical trigeminal neuralgia.

Keywords:

trigeminal neuralgia
CT angiography
neurovascular conflict
topographic and anatomical features

Authors:

Balyazin V.A.

Rostov State Medical University

Balyazina E.V.

Rostov State Medical University

Zykova O.M.

Rostov State Medical University

Kravchik K.P.

Rostov State Medical University

Afanasyeva A.V.

Rostov State Medical University

Received:

24.02.2025

Accepted:

05.03.2025

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