{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T12:38:17Z","timestamp":1791376697585,"version":"4.3.2"},"reference-count":12,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","license":[{"start":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T00:00:00Z","timestamp":1601510400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,10]]},"abstract":"In multiple sclerosis (MS) patients, trigeminal neuralgia (TN) represents a challenging syndrome to treat, often refractory to medical therapy and percutaneous techniques. Despite the frequent lack of a neurovascular conflict, the trigeminal nerve\u2019s axons are often damaged, with the myelin sheath permanently degenerated, thus explaining the difficulty in treating TN in MS.<\/jats:p>\n The authors illustrate trigeminal interfascicular neurolysis (the combing technique) to control refractory recurrent TN in MS: the nerve is longitudinally divided along its fibers from the root entry zone, determining good pain relief.<\/jats:p>\n \n The video can be found here:\n https:\/\/youtu.be\/o1XksPW5fMY<\/jats:ext-link>\n <\/jats:p>","DOI":"10.3171\/2020.5.focvid203","type":"journal-article","created":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T08:49:40Z","timestamp":1601542180000},"page":"V3","source":"Crossref","is-referenced-by-count":5,"title":["Trigeminal interfascicular neurolysis (nerve combing) for refractory recurrent neuralgia in multiple sclerosis"],"prefix":"10.3171","volume":"3","author":[{"given":"Paolo","family":"Ferroli","sequence":"first","affiliation":[{"name":"Neurosurgical Unit II, Department of Neurosurgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ignazio G.","family":"Vetrano","sequence":"additional","affiliation":[{"name":"Neurosurgical Unit II, Department of Neurosurgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Acerbi","sequence":"additional","affiliation":[{"name":"Neurosurgical Unit II, Department of Neurosurgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriella","family":"Raccuia","sequence":"additional","affiliation":[{"name":"Neurosurgical Unit II, Department of Neurosurgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Schiariti","sequence":"additional","affiliation":[{"name":"Neurosurgical Unit II, Department of Neurosurgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Confalonieri","sequence":"additional","affiliation":[{"name":"Unit of Neuroimmunology and Neuromuscular Diseases, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luisa","family":"Chiapparini","sequence":"additional","affiliation":[{"name":"Neuroradiology Department, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morgan","family":"Broggi","sequence":"additional","affiliation":[{"name":"Neurosurgical Unit II, Department of Neurosurgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"2","key":"b1","series-title":"Acta Neurol Scand","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1111\/ane.13243","article-title":"Trigeminal neuralgia in multiple sclerosis: prevalence and association with demyelination","volume":"142","author":"Laakso SM","year":"2020","unstructured":"Laakso SM, Hekali O, Kurdo G, Trigeminal neuralgia in multiple sclerosis: prevalence and association with demyelination. 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