Lazar M L, Kirkpatrick J B
Neurosurgery. 1979 Dec;5(6):711-7. doi: 10.1227/00006123-197912000-00013.
Trigeminal neuralgia is unique to humans. The most common cause seems to be an injury to the myelin of the trigeminal nerve root entry zone as it extends for several millimeters lateral to the pons. Jannetta has developed an elegant retromastoid microsurgical approach to this region. He has identified a compression-distortion phenomenon of this nerve root entry zone, usually from an anomalous position of the superior cerebella artery. Trigeminal neuralgia can also occur in association with multiple sclerosis, when the plaque lies in this same location. The historical evidence for this explanation is reinforced by the electron microscopic demonstration of the plaque in this region in a patient with multiple sclerosis who was suffering from tic douloureux. (Neurosurgery, 5: 711--717, 1979).
三叉神经痛是人类所特有的疾病。最常见的病因似乎是三叉神经根进入区的髓鞘受到损伤，该区域在脑桥外侧延伸数毫米。詹内塔已经开发出一种针对该区域的精妙的乳突后显微手术方法。他发现了该神经根进入区的压迫 - 变形现象，通常是由于小脑上动脉位置异常所致。三叉神经痛也可与多发性硬化症相关联，此时斑块就位于同一位置。一名患有三叉神经痛的多发性硬化症患者，其该区域斑块的电子显微镜显示结果进一步证实了这一解释的历史证据。（《神经外科学》，第5卷：711 - 717页，1979年）
