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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleHead & Neck

Sagittal Angle of the Trigeminal Nerve at the Porus Trigeminus: A Novel Measurement to Distinguish Different Causes of Classic Trigeminal Neuralgia

B.F. Branstetter, N. Reddy, K. Patel and R. Sekula
American Journal of Neuroradiology October 2022, 43 (10) 1460-1463; DOI: https://doi.org/10.3174/ajnr.A7634
B.F. Branstetter
aFrom the Departments of Radiology (B.F.B.)
bOtolaryngology (B.F.B.)
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N. Reddy
dUniversity of Pittsburgh (N.R., K.P.), Pittsburgh, Pennsylvania
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K. Patel
dUniversity of Pittsburgh (N.R., K.P.), Pittsburgh, Pennsylvania
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R. Sekula
cNeurosurgery (R.S.), University of Pittsburgh School Medicine, Pittsburgh, Pennsylvania
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    FIG 1.

    Sample measurements of the SATNaPT. Sagittal SSFP MR images show a normal angle of 166° (A) and a decreased angle of 120° (B). The angle measurements are shown below the nerves to avoid obscuring the anatomy.

  • FIG 2.
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    FIG 2.

    Histogram of SATNaPT in different patient populations. The horizontal axis angle is measured in 5° intervals. The vertical axis is the percentage of patients. A best-fit normal curve is also shown for each histogram. Note that all curves are similar except the cTN curve, which has a bimodal distribution in which 17% of the nerves form a separate population with decreased SATNaPT. Asympt indicates the contralateral asymptomatic nerve in patients with cTN; Control, patient scanned for other reasons; Combined, all asymptomatic nerves (control plus Asympt).

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American Journal of Neuroradiology: 43 (10)
American Journal of Neuroradiology
Vol. 43, Issue 10
1 Oct 2022
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Cite this article
B.F. Branstetter, N. Reddy, K. Patel, R. Sekula
Sagittal Angle of the Trigeminal Nerve at the Porus Trigeminus: A Novel Measurement to Distinguish Different Causes of Classic Trigeminal Neuralgia
American Journal of Neuroradiology Oct 2022, 43 (10) 1460-1463; DOI: 10.3174/ajnr.A7634

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Trigeminal Nerve Angle and Neuralgia
B.F. Branstetter, N. Reddy, K. Patel, R. Sekula
American Journal of Neuroradiology Oct 2022, 43 (10) 1460-1463; DOI: 10.3174/ajnr.A7634
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  • Trigeminal neuralgia
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  • Correlation between Sagittal Angle of the Trigeminal Nerve and the Grade of Neurovascular Conflict
    P.P. Suthar, K. Hughes, M. Mafraji, S.G. Dua
    American Journal of Neuroradiology 2023 44 3
  • Comparison of sagittal angle of trigeminal nerve at porus trigeminus between responders and non-responders to microvascular decompression surgery in patients with trigeminal neuralgia
    Shehbaz Ansari, Brian H. Mu, Eric R. Basappa, Melih Akyuz, Miral D. Jhaveri, Santhosh Gaddikeri
    Current Problems in Diagnostic Radiology 2025
  • Reply:
    B.F. Branstetter, R.F. Sekula
    American Journal of Neuroradiology 2023 44 3
  • The Sagittal Angle of the Trigeminal Nerve at the Porus Trigeminus is a Radiologic Predictor of Surgical Outcome in Microvascular Decompression for Classical Trigeminal Neuralgia
    Barton F. Branstetter, Raymond F. Sekula
    Neurosurgery 2023

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