{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T22:10:28Z","timestamp":1769724628008,"version":"3.49.0"},"reference-count":70,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"7","license":[{"start":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T00:00:00Z","timestamp":1755475200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2025,8,18]]},"abstract":"\n BACKGROUND<\/jats:title>\n Idiopathic trigeminal neuralgia (TN) presents significant diagnostic and therapeutic challenges. While microvascular decompression (MVD) is well established for classic TN, its role in idiopathic cases remains controversial due to the absence of an identifiable neurovascular conflict and lack of clear anatomical target. New strategies are needed to address this challenging patient population.<\/jats:p>\n <\/jats:sec>\n \n OBSERVATIONS<\/jats:title>\n Six patients with idiopathic TN underwent MVD with a Teflon wrap placed around the trigeminal nerve. All had undergone high-resolution MRI (CISS or FIESTA sequence), and intraoperative exploration was negative for a neurovascular conflict. Intraoperative trigeminal-hypoglossal reflex (THR) monitoring was used as a functional marker of decompression. All patients exhibited intact THR at baseline and complete loss of THR after wrap placement, indicating adequate decompression. Preoperative Barrow Neurological Institute pain scores (BNI-PSs) ranged from III to V. Five patients achieved sustained pain relief (BNI-PS of 0 or I) by postoperative day 1. One patient experienced delayed improvement but progressed from BNI-PS IV to 0 by 6 months. All patients remained pain free at 18 months.<\/jats:p>\n <\/jats:sec>\n \n LESSONS<\/jats:title>\n A Teflon wrap technique with intraoperative THR monitoring may represent a safe and effective surgical option for idiopathic TN. By addressing potential biomechanical or dynamic nerve dysfunction, this approach offers meaningful pain relief even in the absence of a visible vascular conflict.<\/jats:p>\n \n https:\/\/thejns.org\/doi\/10.3171\/CASE25348<\/jats:ext-link>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/case25348","type":"journal-article","created":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T23:48:17Z","timestamp":1756770497000},"source":"Crossref","is-referenced-by-count":0,"title":["Wrap technique for idiopathic trigeminal neuralgia: patient series"],"prefix":"10.3171","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-4440-1168","authenticated-orcid":true,"given":"Sophie Jia Qian","family":"Koh","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, National Neuroscience Institute, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3245-3138","authenticated-orcid":true,"given":"A. Aravin","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, National Neuroscience Institute, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter Ying Khai","family":"Hwang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, National Neuroscience Institute, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"1","key":"bib1","series-title":"Cephalalgia","first-page":"1","article-title":"The International Classification of Headache Disorders, 3rd edition","volume":"38","author":"Headache Classification Committee of the International Headache Society (IHS)","year":"2018","unstructured":"Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition. Cephalalgia. 2018;38(1):1-211."},{"issue":"3","key":"bib2","series-title":"AJR Am J Roentgenol","first-page":"595","article-title":"MRI of the trigeminal nerve in patients with trigeminal neuralgia secondary to vascular compression","volume":"206","author":"Hughes","year":"2016","unstructured":"Hughes MAFrederickson AMBranstetter BFZhu XSekula RFJr.MRI of the trigeminal nerve in patients with trigeminal neuralgia secondary to vascular compression. AJR Am J Roentgenol. 2016;206(3):595-600."},{"issue":"6","key":"bib3","series-title":"Eur J Neurol","first-page":"831","article-title":"European Academy of Neurology guideline on trigeminal neuralgia","volume":"26","author":"Bendtsen","year":"2019","unstructured":"Bendtsen LZakrzewska JMAbbott JEuropean Academy of Neurology guideline on trigeminal neuralgia. 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BMC Surg. 2022;22(1):13."},{"issue":"1","key":"bib8","series-title":"Acta Neurochir (Wien)","first-page":"1","article-title":"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","volume":"144","author":"Sindou","year":"2002","unstructured":"Sindou MHoweidy TAcevedo G.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. 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World Neurosurg. 2017;104:687-693."},{"issue":"2","key":"bib27","series-title":"Yonsei Med J","first-page":"111","article-title":"Gamma knife radiosurgery on the trigeminal root entry zone for idiopathic trigeminal neuralgia: results and a review of the literature","volume":"61","author":"Park","year":"2020","unstructured":"Park SHChang JW.Gamma knife radiosurgery on the trigeminal root entry zone for idiopathic trigeminal neuralgia: results and a review of the literature. Yonsei Med J. 2020;61(2):111-119."},{"issue":"3","key":"bib28","series-title":"Neurosurgery","first-page":"524","article-title":"Percutaneous controlled radiofrequency trigeminal rhizotomy for the treatment of idiopathic trigeminal neuralgia: 25-year experience with 1,600 patients","volume":"48","author":"Kanpolat","year":"2001","unstructured":"Kanpolat YSavas ABekar ABerk C.Percutaneous controlled radiofrequency trigeminal rhizotomy for the treatment of idiopathic trigeminal neuralgia: 25-year experience with 1,600 patients. Neurosurgery. 2001;48(3):524-532."},{"key":"bib29","series-title":"Stereotact Funct Neurosurg","first-page":"76","article-title":"Microvascular decompression versus percutaneous procedures for typical trigeminal neuralgia: personal experience","volume":"54-55","author":"Meglio","year":"1990","unstructured":"Meglio MCioni BMoles AVisocchi M.Microvascular decompression versus percutaneous procedures for typical trigeminal neuralgia: personal experience. 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