Trigeminal Nerve Control of Cerebral Blood Flow: A Brief Review

The trigeminal nerve, the fifth cranial nerve, is known to innervate much of the cerebral arterial vasculature and significantly contributes to the control of cerebrovascular tone in both healthy and diseased states. Previous studies have demonstrated that stimulation of the trigeminal nerve (TNS) i...

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Main Authors: Timothy G. White, Keren Powell, Kevin A. Shah, Henry H. Woo, Raj K. Narayan, Chunyan Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-04-01
Series:Frontiers in Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnins.2021.649910/full
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author Timothy G. White
Timothy G. White
Keren Powell
Kevin A. Shah
Henry H. Woo
Raj K. Narayan
Raj K. Narayan
Chunyan Li
Chunyan Li
author_facet Timothy G. White
Timothy G. White
Keren Powell
Kevin A. Shah
Henry H. Woo
Raj K. Narayan
Raj K. Narayan
Chunyan Li
Chunyan Li
author_sort Timothy G. White
collection DOAJ
description The trigeminal nerve, the fifth cranial nerve, is known to innervate much of the cerebral arterial vasculature and significantly contributes to the control of cerebrovascular tone in both healthy and diseased states. Previous studies have demonstrated that stimulation of the trigeminal nerve (TNS) increases cerebral blood flow (CBF) via antidromic, trigemino-parasympathetic, and other central pathways. Despite some previous reports on the role of the trigeminal nerve and its control of CBF, there are only a few studies that investigate the effects of TNS on disorders of cerebral perfusion (i.e., ischemic stroke, subarachnoid hemorrhage, and traumatic brain injury). In this mini review, we present the current knowledge regarding the mechanisms of trigeminal nerve control of CBF, the anatomic underpinnings for targeted treatment, and potential clinical applications of TNS, with a focus on the treatment of impaired cerebral perfusion.
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spelling doaj.art-407a8d07d4684cb29bc60efc252d6c172022-12-21T23:00:24ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2021-04-011510.3389/fnins.2021.649910649910Trigeminal Nerve Control of Cerebral Blood Flow: A Brief ReviewTimothy G. White0Timothy G. White1Keren Powell2Kevin A. Shah3Henry H. Woo4Raj K. Narayan5Raj K. Narayan6Chunyan Li7Chunyan Li8Translational Brain Research Laboratory, The Feinstein Institutes for Medical Research, Manhasset, NY, United StatesDepartment of Neurosurgery, Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, United StatesTranslational Brain Research Laboratory, The Feinstein Institutes for Medical Research, Manhasset, NY, United StatesDepartment of Neurosurgery, Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, United StatesDepartment of Neurosurgery, Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, United StatesTranslational Brain Research Laboratory, The Feinstein Institutes for Medical Research, Manhasset, NY, United StatesDepartment of Neurosurgery, Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, United StatesTranslational Brain Research Laboratory, The Feinstein Institutes for Medical Research, Manhasset, NY, United StatesDepartment of Neurosurgery, Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, United StatesThe trigeminal nerve, the fifth cranial nerve, is known to innervate much of the cerebral arterial vasculature and significantly contributes to the control of cerebrovascular tone in both healthy and diseased states. Previous studies have demonstrated that stimulation of the trigeminal nerve (TNS) increases cerebral blood flow (CBF) via antidromic, trigemino-parasympathetic, and other central pathways. Despite some previous reports on the role of the trigeminal nerve and its control of CBF, there are only a few studies that investigate the effects of TNS on disorders of cerebral perfusion (i.e., ischemic stroke, subarachnoid hemorrhage, and traumatic brain injury). In this mini review, we present the current knowledge regarding the mechanisms of trigeminal nerve control of CBF, the anatomic underpinnings for targeted treatment, and potential clinical applications of TNS, with a focus on the treatment of impaired cerebral perfusion.https://www.frontiersin.org/articles/10.3389/fnins.2021.649910/fulltrigeminal nervetrigeminal nerve stimulationcerebral blood flowcerebral perfusioncerebrovascular resistanceneurogenic control of cerebral vasodilation
spellingShingle Timothy G. White
Timothy G. White
Keren Powell
Kevin A. Shah
Henry H. Woo
Raj K. Narayan
Raj K. Narayan
Chunyan Li
Chunyan Li
Trigeminal Nerve Control of Cerebral Blood Flow: A Brief Review
Frontiers in Neuroscience
trigeminal nerve
trigeminal nerve stimulation
cerebral blood flow
cerebral perfusion
cerebrovascular resistance
neurogenic control of cerebral vasodilation
title Trigeminal Nerve Control of Cerebral Blood Flow: A Brief Review
title_full Trigeminal Nerve Control of Cerebral Blood Flow: A Brief Review
title_fullStr Trigeminal Nerve Control of Cerebral Blood Flow: A Brief Review
title_full_unstemmed Trigeminal Nerve Control of Cerebral Blood Flow: A Brief Review
title_short Trigeminal Nerve Control of Cerebral Blood Flow: A Brief Review
title_sort trigeminal nerve control of cerebral blood flow a brief review
topic trigeminal nerve
trigeminal nerve stimulation
cerebral blood flow
cerebral perfusion
cerebrovascular resistance
neurogenic control of cerebral vasodilation
url https://www.frontiersin.org/articles/10.3389/fnins.2021.649910/full
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