{"id":292,"date":"2025-10-23T14:15:03","date_gmt":"2025-10-23T12:15:03","guid":{"rendered":"https:\/\/www.chu-tours.fr\/neurochirurgie\/?page_id=292"},"modified":"2025-10-23T14:22:40","modified_gmt":"2025-10-23T12:22:40","slug":"conflit-vasculo-nerveux","status":"publish","type":"page","link":"https:\/\/www.chu-tours.fr\/neurochirurgie\/autres-pathologies\/conflit-vasculo-nerveux\/","title":{"rendered":"Conflit vasculo-nerveux : N\u00e9vralgie trig\u00e9minale essentielle"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"292\" class=\"elementor elementor-292\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3409196 e-con-full e-flex e-con e-parent\" data-id=\"3409196\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9ed761e elementor-widget elementor-widget-global elementor-global-220 elementor-widget-html\" data-id=\"9ed761e\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<!-- FIL D\u2019ARIANE DYNAMIQUE - CHRU TOURS (VERSION JAVASCRIPT\/CHEVRONS) -->\r\n<div id=\"breadcrumb-js\" class=\"breadcrumb\"><\/div>\r\n\r\n<style>\r\n    .breadcrumb {\r\n        font-size: 14px;\r\n        font-family: \"Segoe UI\", sans-serif;\r\n        margin-bottom: 20px;\r\n        color: #555;\r\n        display: flex;\r\n        flex-wrap: wrap;\r\n        gap: 0.5em;\r\n        align-items: center;\r\n        background: #f4f6f8;       \/* fond gris clair (modifiable ou \u00e0 supprimer) *\/\r\n        padding: 8px 12px;\r\n        border-radius: 4px;\r\n    }\r\n\r\n    .breadcrumb a {\r\n        text-decoration: none;\r\n        color: #008c9e;            \/* couleur des liens cliquables *\/\r\n        font-weight: 600;\r\n        text-transform: capitalize;\r\n    }\r\n\r\n    .breadcrumb span {\r\n        color: #0d3182;            \/* couleur du dernier \u00e9l\u00e9ment (page active) *\/\r\n        font-weight: 600;\r\n        text-transform: capitalize;\r\n    }\r\n\r\n    .breadcrumb .separator {\r\n        font-weight: normal;\r\n        color: #888;\r\n        margin: 0 4px;\r\n    }\r\n<\/style>\r\n\r\n<script>\r\n    document.addEventListener(\"DOMContentLoaded\", function () {\r\n        const path = window.location.pathname.split(\"\/\").filter(p => p);\r\n        if (path.length === 0) return;\r\n\r\n        let html = '';\r\n        let fullPath = \"\";\r\n\r\n        path.forEach((segment, index) => {\r\n            fullPath += \"\/\" + segment;\r\n            const label = decodeURIComponent(segment.replace(\/[-_]\/g, \" \"))\r\n            .toLowerCase()\r\n            .replace(\/^\\w\/, c => c.toUpperCase());\r\n\r\n            if (index < path.length - 1) {\r\n                html += `<span class=\"separator\">\u203a<\/span><a href=\"${fullPath}\">${label}<\/a>`;\r\n            } else {\r\n                html += `<span class=\"separator\">\u203a<\/span><span>${label}<\/span>`;\r\n            }\r\n        });\r\n\r\n        const container = document.getElementById(\"breadcrumb-js\");\r\n        if (container) container.innerHTML = html;\r\n    });\r\n\r\n    \/*\r\n\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\r\n\ud83c\udfa8 ASTUCES DE PERSONNALISATION (\u00e0 modifier au besoin)\r\n\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\r\n\r\n1. Modifier la couleur du dernier niveau (page courante) :\r\n\u2192 dans le CSS : change `color: #0d3182;` dans `.breadcrumb span`\r\n\r\n2. Modifier la couleur ou le style des liens :\r\n\u2192 dans `.breadcrumb a`, tu peux ajuster :\r\n- color (ex: #0073aa)\r\n- font-weight\r\n- text-transform\r\n\r\n3. Supprimer le fond gris clair :\r\n\u2192 supprime `background: #f4f6f8;` dans `.breadcrumb`\r\n\r\n4. Centrer le fil d\u2019Ariane :\r\n\u2192 ajoute `justify-content: center;` dans `.breadcrumb`\r\n\r\n5. Changer le s\u00e9parateur :\r\n\u2192 remplace `\u203a` dans le code HTML g\u00e9n\u00e9r\u00e9 (`.separator`)\r\nPar exemple : `&raquo;` (pour \u00bb) ou `\/`\r\n\r\n6. Supprimer \"Accueil\" du d\u00e9but :\r\n\u2192 commente ou supprime : `let html = '<a href=\"\/\">Accueil<\/a>';`\r\n\r\n7. Ajouter une classe sp\u00e9cifique au dernier segment :\r\n\u2192 tu peux remplacer `<span>` par `<span class=\"current\">` et styler `.current` comme tu veux\r\n\r\n8. Forcer un affichage responsive encore plus propre :\r\n\u2192 dans `.breadcrumb`, tu peux ajouter `flex-wrap: wrap;` et g\u00e9rer les `gap` ou marges\r\n\r\n\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\r\n*\/\r\n<\/script>\r\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9d353d3 e-con-full e-flex e-con e-parent\" data-id=\"9d353d3\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c6ff247 elementor-widget__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"c6ff247\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<h2>Qu\u2019est-ce qu\u2019une n\u00e9vralgie trig\u00e9minale essentielle ?<\/h2><p style=\"text-align: justify;\">Les n\u00e9vralgies faciales ou trig\u00e9minales essentielles sont dues \u00e0 un <strong>conflit entre le nerf trig\u00e9minal<\/strong> (5<sup>e<\/sup> nerf cr\u00e2nien) <strong>et une art\u00e8re<\/strong> (art\u00e8re c\u00e9r\u00e9belleuse sup\u00e9rieure ou art\u00e8re c\u00e9r\u00e9belleuse ant\u00e9ro-inferieure).<\/p><p>Il s\u2019agit d\u2019une pathologie apparaissant plut\u00f4t apr\u00e8s 60 ans. Il existe 5 \u00e0 20 nouveaux cas par 100 000 habitants par an en France.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-425514f e-flex e-con-boxed e-con e-parent\" data-id=\"425514f\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5ba6428 elementor-widget elementor-widget-image\" data-id=\"5ba6428\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"641\" height=\"368\" src=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/nevralgie-trigeminale.jpg\" class=\"attachment-full size-full wp-image-153\" alt=\"n\u00e9vralgie trig\u00e9minale\" srcset=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/nevralgie-trigeminale.jpg 641w, https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/nevralgie-trigeminale-300x172.jpg 300w\" sizes=\"(max-width: 641px) 100vw, 641px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-33901fc e-con-full e-flex e-con e-parent\" data-id=\"33901fc\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fda0558 elementor-widget elementor-widget-text-editor\" data-id=\"fda0558\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h2 style=\"text-align: justify;\">Quels sont les sympt\u00f4mes\u00a0?<\/h2><p style=\"text-align: justify;\">Il s\u2019agit d\u2019une douleur touchant une <strong>partie sp\u00e9cifique du visage<\/strong>, bien d\u00e9limit\u00e9e, <strong>unilat\u00e9rale<\/strong> (dans le territoire du nerf trijumeau). La douleur est souvent <strong>tr\u00e8s intense,<\/strong> survenant par crises avec des facteurs d\u00e9clencheurs, telle que la parole, la mastication ou m\u00eame le contact avec une zone \u00ab<strong>\u00a0g\u00e2chette<\/strong>\u00a0\u00bb.<\/p><p style=\"text-align: justify;\">Il est important d\u2019\u00e9liminer tous les autres diagnostics pour \u00e9tablir le diagnostic de conflit vasculo-nerveux qui pourra \u00eatre confirmer par la r\u00e9alisation d\u2019une <strong>IRM c\u00e9r\u00e9brale.<\/strong><\/p><h2 style=\"text-align: justify;\">Quelles sont les prises en charge possibles\u00a0?<\/h2><p style=\"text-align: justify;\">Dans un premier temps, apr\u00e8s \u00e9limination des diagnostics diff\u00e9rentiels, la prise en charge est m\u00e9dicamenteuse puis chirurgicale si n\u00e9cessaire.<\/p><h3 style=\"text-align: justify;\">Traitements m\u00e9dicamenteux<\/h3><p style=\"text-align: justify;\">La<strong> carbamaz\u00e9pine<\/strong> est le traitement de r\u00e9f\u00e9rence de la n\u00e9vralgie trig\u00e9minale essentielle. En cas d\u2019inefficacit\u00e9 et\/ou d\u2019intol\u00e9rance, d\u2019autres traitements peuvent \u00eatre propos\u00e9s.<\/p><h3 style=\"text-align: justify;\">Traitements chirurgicaux<\/h3><p style=\"text-align: justify;\">En cas d\u2019inefficacit\u00e9 et\/ou intol\u00e9rance des traitements m\u00e9dicamenteux le traitements peut \u00eatre chirurgical.<\/p><h3 style=\"text-align: justify;\">Technique percutan\u00e9es\u00a0<\/h3><p style=\"text-align: justify;\">R\u00e9alisation d\u2019une <strong>coagulation<\/strong> ou une compression du ganglion trig\u00e9minale.<\/p><p style=\"text-align: justify;\">Le risque principal est une anesth\u00e9sie du visage.<\/p><h3 style=\"text-align: justify;\">Radiochirurgie<\/h3><p style=\"text-align: justify;\"><strong>Irradiation<\/strong> du nerf de fa\u00e7on tr\u00e8s focalis\u00e9e<\/p><p style=\"text-align: justify;\">Le risque principal est une anesth\u00e9sie du visage.<\/p><h3 style=\"text-align: justify;\">D\u00e9compression microchirurgicale<\/h3><p style=\"text-align: justify;\">Lorsqu\u2019un conflit vasculo-nerveux est visualis\u00e9e sur l\u2019imagerie, une d\u00e9compression peut \u00eatre r\u00e9alis\u00e9e. Il s\u2019agit d\u2019emp\u00eacher le contact entre l\u2019art\u00e8re et le nerf par apposition d\u2019un substitut entre les 2.<\/p><p style=\"text-align: justify;\"><strong>La dur\u00e9e d\u2019hospitalisation est de 4 \u00e0 7 nuits<\/strong>\u00a0:<\/p><ul style=\"text-align: justify;\"><li>Arriv\u00e9e la veille de l\u2019intervention<\/li><li>2 nuits en unit\u00e9 de soins continus neurochirurgicale<\/li><li>1 \u00e0 3 nuits en hospitalisation compl\u00e8te<\/li><li>Puis <strong>retour \u00e0 domicile<\/strong><\/li><\/ul><p style=\"text-align: justify;\">Les principes de la chirurgie et les risques sont \u00e0 discuter avec le neurochirurgien.<\/p><p style=\"text-align: justify;\">Les 3 techniques chirurgicales permettent <strong>un soulagement quasi imm\u00e9diat<\/strong> des douleurs dans 80 \u00e0 90% des cas.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-eea2356 e-flex e-con-boxed e-con e-parent\" data-id=\"eea2356\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-70db74b elementor-widget elementor-widget-image\" data-id=\"70db74b\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"640\" height=\"548\" src=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/Conflit-vasculo-nerveux-fig1.jpg\" class=\"attachment-full size-full wp-image-254\" alt=\"Conflit vasculo-nerveux\" srcset=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/Conflit-vasculo-nerveux-fig1.jpg 640w, https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/Conflit-vasculo-nerveux-fig1-300x257.jpg 300w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Figure 1. Conflit vasculo-nerveux pr\u00e9 op\u00e9ratoire<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2ad01db elementor-widget elementor-widget-spacer\" data-id=\"2ad01db\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-column .elementor-spacer-inner{height:var(--spacer-size)}.e-con{--container-widget-width:100%}.e-con-inner>.elementor-widget-spacer,.e-con>.elementor-widget-spacer{width:var(--container-widget-width,var(--spacer-size));--align-self:var(--container-widget-align-self,initial);--flex-shrink:0}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container,.e-con>.elementor-widget-spacer>.elementor-widget-container{height:100%;width:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer{height:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner{height:var(--container-widget-height,var(--spacer-size))}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty,.e-con>.elementor-widget-spacer.elementor-widget-empty{position:relative;min-height:22px;min-width:22px}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon,.e-con>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon{position:absolute;top:0;bottom:0;left:0;right:0;margin:auto;padding:0;width:22px;height:22px}<\/style>\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9cf70b8 elementor-widget elementor-widget-image\" data-id=\"9cf70b8\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"639\" height=\"545\" src=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/Conflit-vasculo-nerveux-fig2.jpg\" class=\"attachment-full size-full wp-image-139\" alt=\"Conflit vasculo-nerveux\" srcset=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/Conflit-vasculo-nerveux-fig2.jpg 639w, https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/Conflit-vasculo-nerveux-fig2-300x256.jpg 300w\" sizes=\"(max-width: 639px) 100vw, 639px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Figure 2. Apposition d'une substitut pour lever le conflit<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6fdfcaf e-con-full e-flex e-con e-parent\" data-id=\"6fdfcaf\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5b40b64 elementor-widget elementor-widget-toggle\" data-id=\"5b40b64\" data-element_type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-toggle{text-align:start}.elementor-toggle .elementor-tab-title{font-weight:700;line-height:1;margin:0;padding:15px;border-bottom:1px solid #d5d8dc;cursor:pointer;outline:none}.elementor-toggle .elementor-tab-title .elementor-toggle-icon{display:inline-block;width:1em}.elementor-toggle .elementor-tab-title .elementor-toggle-icon svg{margin-inline-start:-5px;width:1em;height:1em}.elementor-toggle .elementor-tab-title .elementor-toggle-icon.elementor-toggle-icon-right{float:right;text-align:right}.elementor-toggle .elementor-tab-title .elementor-toggle-icon.elementor-toggle-icon-left{float:left;text-align:left}.elementor-toggle .elementor-tab-title .elementor-toggle-icon .elementor-toggle-icon-closed{display:block}.elementor-toggle .elementor-tab-title .elementor-toggle-icon .elementor-toggle-icon-opened{display:none}.elementor-toggle .elementor-tab-title.elementor-active{border-bottom:none}.elementor-toggle .elementor-tab-title.elementor-active .elementor-toggle-icon-closed{display:none}.elementor-toggle .elementor-tab-title.elementor-active .elementor-toggle-icon-opened{display:block}.elementor-toggle .elementor-tab-content{padding:15px;border-bottom:1px solid #d5d8dc;display:none}@media (max-width:767px){.elementor-toggle .elementor-tab-title{padding:12px}.elementor-toggle .elementor-tab-content{padding:12px 10px}}.e-con-inner>.elementor-widget-toggle,.e-con>.elementor-widget-toggle{width:var(--container-widget-width);--flex-grow:var(--container-widget-flex-grow)}<\/style>\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-9561\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-9561\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><svg class=\"e-font-icon-svg e-fas-caret-right\" viewBox=\"0 0 192 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M0 384.662V127.338c0-17.818 21.543-26.741 34.142-14.142l128.662 128.662c7.81 7.81 7.81 20.474 0 28.284L34.142 398.804C21.543 411.404 0 402.48 0 384.662z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><svg class=\"elementor-toggle-icon-opened e-font-icon-svg e-fas-caret-up\" viewBox=\"0 0 320 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M288.662 352H31.338c-17.818 0-26.741-21.543-14.142-34.142l128.662-128.662c7.81-7.81 20.474-7.81 28.284 0l128.662 128.662c12.6 12.599 3.676 34.142-14.142 34.142z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Bibliographie<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-9561\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-9561\"><ol start=\"1\"><li><p>Louis-Marie Terrier, Ilyess Zemmoura, Aymeric Amelot, Christophe Destrieux, Patrick Fran\u00e7ois, St\u00e9phane Velut, New insights into the trigeminal nerve somatotopy: Lessons from partial sensory rhizotomy, Morphologie, Volume 101, Issue 335, 2017, ISSN 1286-0115,2.<\/p><\/li><li><p>Terrier, LM., Hadjikhani, N. &amp; Destrieux, C. The trigeminal pathways. J Neurol 269, 3443\u20133460 (2022). https:\/\/doi.org\/10.1007\/s00415-022-11002-4<\/p><\/li><\/ol><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Qu\u2019est-ce qu\u2019une n\u00e9vralgie trig\u00e9minale essentielle ? Les n\u00e9vralgies faciales ou trig\u00e9minales essentielles sont dues \u00e0 un conflit entre le nerf trig\u00e9minal (5e nerf cr\u00e2nien) et une art\u00e8re (art\u00e8re c\u00e9r\u00e9belleuse sup\u00e9rieure ou art\u00e8re c\u00e9r\u00e9belleuse ant\u00e9ro-inferieure). Il s\u2019agit d\u2019une pathologie apparaissant plut\u00f4t apr\u00e8s 60 ans. Il existe 5 \u00e0 20 nouveaux cas par 100 000 habitants par [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":289,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"publishpress_future_action":{"enabled":false,"date":"2026-04-26 20:58:55","action":"change-status","newStatus":"draft","terms":[],"taxonomy":""},"_links":{"self":[{"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/pages\/292"}],"collection":[{"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/comments?post=292"}],"version-history":[{"count":15,"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/pages\/292\/revisions"}],"predecessor-version":[{"id":307,"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/pages\/292\/revisions\/307"}],"up":[{"embeddable":true,"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/pages\/289"}],"wp:attachment":[{"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/media?parent=292"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}