Publication Name	World Journal of Radiology
Manuscript ID	128764
DOI	10.4329/wjr.128764
Country	Greece

Category	Radiology, Nuclear Medicine & Medical Imaging
Manuscript Type	Minireviews
Article Title	Clinical anatomy of neurovascular conflict involving the cranial nerves: An illustrative narrative review
Manuscript Source	Invited Manuscript
All Author List	George Triantafyllou, Konstantina Bolou, Nikolaos Pavlis, Nikolaos-Achilleas Arkoudis, Panagiotis Papadopoulos-Manolarakis, George Georgountzos, Eleni Kokkou, Georgios Velonakis and Maria Piagkou
Funding Agency and Grant Number
Corresponding Author	George Triantafyllou, MD, Department of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, 75 Mikras Asias Street, Goudi, Athens 11527, Attikí, Greece. georgerose406@gmail.com
Key Words	Neurovascular compression; Cranial nerves; Trigeminal neuralgia; Hemifacial spasm; Microvascular decompression; Magnetic resonance imaging; Root entry zone
Core Tip	Neurovascular contact is common and may be incidental; therefore, do not diagnose symptomatic neurovascular conflict based on vessel-nerve juxtaposition alone. The root entry/exit region and the histological central-to-peripheral myelin transition are related but not synonymous anatomical concepts. Symptomatic conflicts most often involve the vulnerable central myelin segment and are more convincing when high-resolution magnetic resonance imaging demonstrates nerve deformation, displacement, indentation, focal thinning, or atrophy in a clinically concordant location. Constructive interference in steady state/fast imaging employing steady-state acquisition and other high-resolution cisternographic sequences, supplemented by angiographic imaging, are key tools for evaluating these relationships. Particular caution is warranted when attributing isolated pulsatile tinnitus to vestibulocochlear vascular loops, which are frequently incidental.
Citation	Triantafyllou G, Bolou K, Pavlis N, Arkoudis NA, Papadopoulos-Manolarakis P, Georgountzos G, Kokkou E, Velonakis G, Piagkou M. Clinical anatomy of neurovascular conflict involving the cranial nerves: An illustrative narrative review. World J Radiol 2026; In press DOI: https://doi.org/10.4329/wjr.128764
PDF	128764-in-press.pdf

Received	2026-09-28 08:55
Peer-Review Started	2026-09-28 08:56
First Decision by Editorial Office Director
Return for Revision	2026-10-19 02:54
Revised	2026-10-20 17:10
Publication Fee Transferred
Second Decision by Editor	2026-11-13 02:52
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-11-13 10:29
Articles in Press	2026-11-13 10:29
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1949-8470 (online)
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Copyright	©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
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