{"page":"https://casescribe.ai/explorer/conditions/tic-douloureux-or-trigeminal-neuralgia","generated_at":"2026-10-03T18:34:29.561Z","data_as_of":{"decisions":944125,"first_year":2017,"last_year":2026,"latest_decision":"2026-04-30","cfr":"2026-10-01","m21":"2026-09-29"},"about":{"publisher":"CaseScribe AI (VA Law Explorer)","source":"Public Board of Veterans' Appeals decisions (appeals of VA decisions, not VA's first decisions), M21-1 Adjudication Procedures Manual, 38 CFR Parts 3 and 4.","method":"Outcomes are issue-level: each condition the Board decided in a decision counts once. Decision data is extracted by AI and can contain errors. Rates describe past appeals and do not predict any claim.","disclaimer":"For research only. CaseScribe AI is not a law firm and this is not legal advice. Verify figures against the source decisions and regulations.","attribution":"Cite as: VA Law Explorer, CaseScribe AI, with the page URL."},"data":{"condition":"Tic douloureux or trigeminal neuralgia","all_conditions_granted_pct":19.4,"decisions":607,"years":"2017-2026","granted_pct":16.6,"denied_pct":27.3,"remanded_pct":55,"granted_on_merits_pct":37.8,"by_year":[{"year":2018,"issues":24,"granted_pct":37.5,"denied_pct":37.5,"remanded_pct":25},{"year":2019,"issues":57,"granted_pct":10.5,"denied_pct":38.6,"remanded_pct":47.4},{"year":2020,"issues":97,"granted_pct":12.4,"denied_pct":36.1,"remanded_pct":50.5},{"year":2021,"issues":83,"granted_pct":8.4,"denied_pct":24.1,"remanded_pct":66.3},{"year":2022,"issues":94,"granted_pct":12.8,"denied_pct":21.3,"remanded_pct":66},{"year":2023,"issues":89,"granted_pct":19.1,"denied_pct":21.3,"remanded_pct":58.4},{"year":2024,"issues":81,"granted_pct":22.2,"denied_pct":34.6,"remanded_pct":43.2},{"year":2025,"issues":107,"granted_pct":20.6,"denied_pct":30.8,"remanded_pct":47.7},{"year":2026,"issues":32,"granted_pct":34.4,"denied_pct":12.5,"remanded_pct":53.1}],"benefit_of_doubt_in_grants_pct":77.2,"evidence_on_merits":[{"evidence":"va_exam_favorable","decisions_with":70,"granted_pct_with":70.4,"granted_pct_without":29.6},{"evidence":"va_exam_unfavorable","decisions_with":422,"granted_pct_with":34.7,"granted_pct_without":51},{"evidence":"nexus_positive","decisions_with":107,"granted_pct_with":71.4,"granted_pct_without":22.4},{"evidence":"nexus_negative","decisions_with":313,"granted_pct_with":34.7,"granted_pct_without":43},{"evidence":"private_opinion","decisions_with":205,"granted_pct_with":43.6,"granted_pct_without":33.3},{"evidence":"treating_physician","decisions_with":57,"granted_pct_with":55.3,"granted_pct_without":34.9},{"evidence":"lay_statement","decisions_with":482,"granted_pct_with":38.4,"granted_pct_without":34.3}],"top_reasons":{"granted":[{"reason":"current diagnosis established","decisions":12},{"reason":"caused by the service-connected disability","decisions":12},{"reason":"new and relevant evidence submitted","decisions":2},{"reason":"onset in service","decisions":2},{"reason":"secondary service connection granted","decisions":2}],"denied":[{"reason":"no current diagnosis","decisions":20},{"reason":"no in-service complaints, treatment or diagnosis","decisions":18},{"reason":"preponderance of the evidence against the claim","decisions":16},{"reason":"va examiner: less likely than not related to service","decisions":15},{"reason":"service records negative or silent","decisions":15},{"reason":"current diagnosis established","decisions":8}]},"recent_examples":{"granted":[{"case_id":"A26033949","year":2026,"judge":"I. CANNADAY","rationale":"Favorable Finding: Current diagnosis of essential tremors; Favorable Finding: Related to presumed in-service chemical exposure (TCE); Benefit of the doubt resolved in Veteran's favor"},{"case_id":"A26033309","year":2026,"judge":"E. I. VELEZ","rationale":"Lay evidence established in-service onset and persistence; Conflicting medical opinions in equipoise; Benefit of the doubt resolved in veteran's favor"},{"case_id":"A26030314","year":2026,"judge":"MICHAEL J. SKALTSOUNIS","rationale":"Evidence in approximate balance; Benefit of the doubt applied; RO conceded noise exposure for tinnitus; Private opinion found nexus"}],"denied":[{"case_id":"A26035957","year":2026,"judge":"B.T. KNOPE","rationale":"No current diagnosis of central pain syndrome.; Lay testimony deemed incompetent and inconsistent.; VA examination did not identify central pain syndrome."},{"case_id":"26002316","year":2026,"judge":"KRISTY L. ZADORA","rationale":"Service treatment records negative for sciatica; No in-service complaints of sciatica; First diagnosis decades after service; Multiple VA opinions found less likely than not service-related"},{"case_id":"A26008538","year":2026,"judge":"B. MULLINS","rationale":"Not documented in service; Did not manifest to a compensable degree within one year of separation; Not otherwise etiologically related to active service"}]},"how_va_rates":null,"rules":[]}}