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- D Leclercq, J-B Thiebaut, and F Héran.
- Neuroradiology Department, Pitié-Salpêtrière Hospital Group, UPMC, 47-83, boulevard de l'Hôpital, 75013 Paris, France. Electronic address: del.leclercq@gmail.com.
- Diagn Interv Imaging. 2013 Oct 1;94(10):993-1001.
AbstractTwo different clinical entities, essential or secondary neuralgia, are associated with different pathologies. The pathways of CN V comprise the cervical spine, the brainstem, the root of the nerve and the three peripheral branches: V1, V2 and V3. The lesions responsible for neuralgia are neoplastic, vascular, inflammatory, malformative or post-traumatic. The examination protocol should explore the set of CN V pathways. Neurovascular compression is the main cause of essential neuralgia. It is investigated by T2-weighted inframillimetric volume. Two conditions are necessary to diagnose a neurovascular compression: localised on the root entry zone [(REZ), 2-6mm from the emergence of the pons] and perpendicularly. In the absence of neurovascular compression, thin slices and a gadolinium injection are necessary.Copyright © 2013 Éditions françaises de radiologie. Published by Elsevier Masson SAS. All rights reserved.
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