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Percutaneous balloon compression for trigeminal neuralgia: a how I do it
Arthur Leclerc1,2, Mohamad Fadi Salkine3, Evelyne Emery4,5,6
1Department of Neurosurgery, CHU Caen, Avenue de La Côte de Nacre, 14000, Caen, France. arthur.leclerc@neurochirurgie.fr.
Acta Neurochirurgica
|May 18, 2022
Summary
This study presents a refined percutaneous balloon compression technique for trigeminal neuralgia (TN) surgery. The adapted method offers a simpler, safer, and more precise approach to treating this facial pain condition.
Area of Science:
- Neurosurgery
- Radiology
Background:
- Trigeminal neuralgia (TN) is a debilitating facial pain condition.
- Percutaneous techniques, including balloon compression, are established surgical options for TN.
- A novel adaptation of Mullan's 1978 technique is introduced.
Purpose of the Study:
- To present a simple, effective, and safe adaptation of a historical percutaneous balloon compression technique for trigeminal neuralgia.
- To describe a modified procedure for improved surgical outcomes.
Main Methods:
- The procedure is conducted in a bi-plane neuro-radiology suite under general anesthesia.
- A 14-G needle is guided to the foramen ovale using radioscopy.
- A 3-F embolectomy catheter is inserted and inflated with contrast for 2 minutes and 15 seconds.
Main Results:
- The adapted technique allows for a quicker surgical procedure.
- Enhanced precision in catheter guidance is achieved.
- The risk of serious injury associated with catheter misplacement is reduced.
Conclusions:
- The modified balloon compression technique is a safe and effective surgical option for trigeminal neuralgia.
- Bi-plane fluoroscopy enables more precise and rapid surgical intervention.
- This adaptation improves upon historical methods by minimizing procedural risks.
