A 10-year follow-up review of percutaneous microcompression of the trigeminal ganglion

Lichtor, Terry; Mullan, John F.

doi:10.3171/jns.1990.72.1.0049

Cited by 176 publications

(127 citation statements)

References 9 publications

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“…Immediate pain relief is very common (about 90%); however, total relief may be delayed by several days. Our good results of PBC have been confirmed in large series by other authors 5,7,13,18,23 . Trigeminal neuralgia has a significant impact on the quality of life of the patients.…”

Section: Discussionsupporting

confidence: 77%

“…This recurrence rate (20%) indicates recurrence within up to 36 months and is in accordance with other series in the literature 5,[8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] . It is necessary to emphasize that, in longer follow-up periods, the recurrence rate usually becomes gradually higher.…”

Section: Discussionsupporting

confidence: 77%

“…However the exact cause of TN remains unclear. When TN occurs in a young patient or when it is bilateral, the presence of demyelinating conditions such as multiple sclerosis should be investigated 5,[8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23] . The goal of PBC is to injure the myelinated fibers that mediate the "trigger" for the lancinating pain of trigeminal neuralgia.…”

Section: Discussionmentioning

confidence: 99%

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A prospective study of 39 patients with trigeminal neuralgia treated with percutaneous balloon compression

Campos

Linhares

2011

Arq. Neuro-Psiquiatr.

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Objective: Trigeminal neuralgia is the most common facial pain. It may be treated with percutaneous balloon compression (PBC), which is considered to be a safe and efficient procedure. The purpose of this study was to review our results with PBC and to assess the factors influencing the outcome. Method: A multivariate analysis was used to study 39 patients during a 50-month postoperative period. Results: There was predominance of the female gender (54%), the right side of the face (84%) and V2V3 roots of trigeminal nerve (33%). The mean age was 62.3 years. No major complications or deaths occurred. Among all variables, postoperative hypoesthesia was the single prognostic factor capable of positively influencing the results (p=0.02). Most patients (80%) were pain-free after 50 months with a 90% satisfaction rate. Conclusion: PBC was a safe procedure with low morbidity, no mortality, high approval ratings, and was an important improving on patients' quality of life. Key words: trigeminal neuralgia, facial hypoesthesia, percutaneous balloon compression, trigeminal nerve, facial neuralgia.Estudo prospectivo de 39 pacientes com neuralgia do trigêmeo tratados com compressão por balão percutâneo RESUMO Objetivo: A neuralgia do trigêmeo é a dor facial mais comum. Ela pode ser tratada através da compressão percutânea com balão, que é considerado procedimento seguro e eficaz. A proposta deste estudo foi avaliar nossos resultados e os fatores que influenciariam o seguimento. Método: Foi utilizada análise multivariada para estudar 39 pacientes submetidos ao procedimento, com seguimento de 50 meses. Resultados: Houve predominância do sexo feminino (54%), lado direito (84%) e dos ramos V2V3 (33%). A idade média foi de 62,3 anos. Não houve complicações maiores ou óbito. Dentre todas as variáveis, a única capaz de influenciar positivamente os resultados foi a hipoestesia pós-operatória (p=0,02). A maioria dos pacientes (80%) estava livre da dor após 50 meses de seguimento, com 90%

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Section: Discussionsupporting

confidence: 77%

Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 99%

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A prospective study of 39 patients with trigeminal neuralgia treated with percutaneous balloon compression

Campos

Linhares

2011

Arq. Neuro-Psiquiatr.

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“…4,7,15,17 Masseter muscle weakness has been recognized as common and its incidence is not defined. In a recent review of the literature, Lopez, et al, state that such weakness occurs in nearly 100% of patients.…”

Section: Neurosurg Focus / Volume 18 / April 2005mentioning

confidence: 99%

Percutaneous balloon compression for the treatment of trigeminal neuralgia: results in 56 patients based on balloon compression pressure monitoring

Brown

Pilitsis²

2005

FOC

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Object Percutaneous balloon compression is an effective and technically simple method for treating trigeminal neuralgia (TN). Nevertheless, dysesthesias (10–20%) and masseter muscle weakness (66%) following the procedure have been noted. The purpose of this study was to evaluate the results of testing TN with percutaneousballoon compression aided by intraluminal pressure monitoring. Methods In this study the authors review the results and complications associated with percutaneous balloon compression by using intraluminal pressure monitoring data obtained in 65 procedures performed in 56 consecutive patients over 4 years. The mean patient age was 71 years (range 37–92 years), and the mean follow-up duration was 17 months (range 3–38 months). The mean intraluminal compression pressure was (1160 ± 62 mm Hg), and the mean duration of compression was 1.15 ± 0.27 minutes. The trigeminal depressor response was observed in 60 (92%) of 65 procedures, and initial pain relief occurred in 92% of patients. The recurrence rate in patients who had initial relief was 16% (nine of 56). The mean time until recurrence in patients who experienced pain relief after surgery was 13 months (range 3–23 months). Mild numbness immediately after surgery was observed in 83% of patients. At the most recent evaluation, 17% of patients reported persistent, nontroublesome numbness and none had moderate or severe numbness. Minor dysesthesia was present in two patients (4%). Mild masseter muscle weakness occurred in 24% of patients and resolved within a maximum period of 1 year. No patient experienced anesthesia dolorosa, corneal keratitis, or other cranial nerve deficits. These morbidity rates are lower than the incidence reported in the literature when pressure monitoring is not used. Conclusions These data show that by monitoring compression pressure and limiting the duration of compression, it is possible to reduce the incidence of dysesthesias, severe numbness, and masseter weakness after surgery without increasing the rate of recurrent pain in patients with classic TN.

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“…In Abdennebi's 15 series, one-third needed re-operation during a mean follow-up of 4.3 years. Lichtor and Mullan 16 obtained slightly better results in that recurrence was seen in 20% of patients at 5 yr follow-up, and 28% of a small number of patients followed even longer (up to 10 yr).…”

Section: Balloon Compressionmentioning

confidence: 99%

Trigeminal neuralgia: An insight into the current treatment modalities

Punyani

Jasuja

2012

Journal of Oral Biology and Craniofacial Research

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Trigeminal neuralgia (TN) is one of the most excruciating pain syndromes afflicting the orofacial region. Trigeminal neuralgia may be primary i.e. idiopathic or secondary, resulting from trauma or a CNS lesion. Considering the agonizing nature of the disease and TN being the commonest of the neural maladies affecting the orofacial region it is important for the oral physician to be aware of all available treatment options. This article makes an attempt to present a brief insight into the current treatment modalities that are on hand to treat this condition. From the perspective of the oral physician the pharmacotherapy constitutes the cornerstone in the management of TN. At the same time, it is also important to be aware and updated of the role of the oral surgeon and radiologist in the application of the array of interventional procedures available for treating TN.

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A 10-year follow-up review of percutaneous microcompression of the trigeminal ganglion

Cited by 176 publications

References 9 publications

A prospective study of 39 patients with trigeminal neuralgia treated with percutaneous balloon compression

A prospective study of 39 patients with trigeminal neuralgia treated with percutaneous balloon compression

Percutaneous balloon compression for the treatment of trigeminal neuralgia: results in 56 patients based on balloon compression pressure monitoring

Trigeminal neuralgia: An insight into the current treatment modalities

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