Cardiovascular response during trigeminal ganglion compression for trigeminal neuralgia according to the use of local anesthetics

Tibano, Adriana Tanaka; Siqueira, Sílvia Regina Dowgan Tesseroli de; Nóbrega, José Cláudio Marinho da; Teixeira, Manoel Jacobsen

doi:10.1007/s00701-010-0664-z

Cited by 15 publications

(15 citation statements)

References 16 publications

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“…[ 6 , 8 ] However, in this case, the prophylactic use of atropine at the beginning of the operation failed to prevent the occurrence of transient sinus arrest when the puncture needle entered the foramen ovale, and the subsequent use of atropine failed to prevent the recurrence of bradycardia. Dominguez et al [ 3 ] and Tibano et al [ 9 ] all attempted to perform a trigeminal nerve block (1–2% lidocaine, 0.8–1 mL) before surgery. The use of local anesthesia for the trigeminal ganglion was helpful to reduce the fluctuation of intraoperative HR.…”

Section: Discussionmentioning

confidence: 99%

Recurrent trigeminocardiac reflex in percutaneous balloon compression for trigeminal neuralgia

Qin

Wang

2020

Medicine

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Rationale: Trigeminocardiac reflex (TCR) sometimes occurs during the percutaneous balloon compression (PBC) procedure to treat trigeminal neuralgia (TN), and it manifests as transient bradycardia or sinus arrest. However, recurrent intraoperative TCR cases are rarely reported. Meanwhile, the treatment for recurrent TCR is still unclear. Patient concerns: A 74-year-old male with a 2-year TN history could no longer tolerate the side effects of carbamazepine and came to seek PBC treatment. Diagnoses: Bradycardia or sinus arrest occurred repeatedly during the operation, and the heart rate (HR) rapidly returned to normal when the operation was suspended. The C-arm image showed the puncture needle entering the foramen ovale. Interventions: First, 0.5 mg atropine was administered twice, and then 1 mL of 2% lidocaine was injected locally at the puncture site. Finally, isoproterenol was continuously pumped and dynamically adjusted to maintain the HR above 90 bpm. Outcomes: The use of atropine and lidocaine did not prevent the recurrence of TCR. The use of isoproterenol to maintain the HR enabled the successful completion of the operation. The patient recovered quickly after the operation and was discharged 2 days later. No complaints of discomfort were reported during the sixth-month follow-up. Lessons: The elimination of intraoperative TCR may be difficult. Maintaining a high HR intraoperatively by continuous isoproterenol infusion is effective for preventing or mitigating the onset of TCR.

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Section: Discussionmentioning

confidence: 99%

Recurrent trigeminocardiac reflex in percutaneous balloon compression for trigeminal neuralgia

Qin

Wang

2020

Medicine

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“…During procedure, when the foramen ovale is engaged, short-lasting bradycardia and the masseter and pterygoid muscles contraction are noted [15]. With additional use of local anesthetic we can lower the number of cardiovascular events [27]. One important issue is also premature balloon rupture which might affect the outcome of the procedure.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Trigeminal Ganglion Balloon Compression Rhizotomy: Experience in 27 Patients

Trojnik

Ŝmigoc

2012

The Scientific World Journal

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Purpose. Percutaneous ganglion balloon compression (PBC) is a minimally invasive procedure for treatment of trigeminal neuralgia. Materials and Methods. Twenty-seven (19 female and 8 male) patients, who presented with classical symptoms of trigeminal neuralgia, were included. Age ranged from 34 to 91 years (median 62 years), 33 procedures were performed. Duration of the symptoms ranged from 1 year to 30 years (median 5 years). Results. After the procedure, pain relief was reported in 25 (93%) patients. In two patients, the pain remained the same. The pain free period ranged from 2 to 74 months (median 15 months). A mean duration of analgesia was longer in patients with ideal pear shape of balloon at the time of the procedure compared to nonideal shape (P = 0.01). No major complications occurred in our group of patients. Conclusions. Percutaneous trigeminal ganglion balloon compression is a safe, simple, and effective method for temporary pain relief in a selective group of trigeminal neuralgia patients.

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“… 127 , 132 , 133 , 139 Complications of balloon compression include facial dysesthesias but may also include cranial nerve palsies and acute changes in blood pressure and heart rate due to trigeminal cardiac reflexes. 140 , 141 …”

Section: Percutaneous Approachesmentioning

confidence: 99%

Trigeminal Neuralgia: Current Approaches and Emerging Interventions

Xu¹,

Xie²,

Jackson³

2021

JPR

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Cardiovascular response during trigeminal ganglion compression for trigeminal neuralgia according to the use of local anesthetics

Abstract: The use of local anesthetics during the trigeminal balloon compression for TN can have a preventive role for the risk of cardiovascular events.

Cited by 15 publications

References 16 publications

Recurrent trigeminocardiac reflex in percutaneous balloon compression for trigeminal neuralgia

Recurrent trigeminocardiac reflex in percutaneous balloon compression for trigeminal neuralgia

Percutaneous Trigeminal Ganglion Balloon Compression Rhizotomy: Experience in 27 Patients

Trigeminal Neuralgia: Current Approaches and Emerging Interventions

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