Efficacy and safety of microvascular decompression versus percutaneous balloon compression in the treatment of trigeminal neuralgia: a systematic review and meta-analysis

Wu, Jingwei; Xiao, Ying; Chen, Bin; Zhang, Ruizhu; Dai, Mingming; Zhang, Yupeng

doi:10.21037/apm-21-3901

Cited by 6 publications

(3 citation statements)

References 31 publications

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“…Se realizó una revisión sistemática fundamentada en la literatura disponible en bases de datos médicas relacionadas con el tema, para lo cual se incluirá "Actualización en el tratamiento de neuralgia del trigémino" Pág. 16 bibliografía actualizada que se encuentren entre los cuartiles Q1-Q4. La revisión se regirá por las recomendaciones de la declaración PRISMA 2020.…”

Section: Metodologíaunclassified

Actualización en el tratamiento de neuralgia del trigémino

Molina Verdugo,

Torres Criollo,

Torres Naspud

et al. 2024

Investigación Contemporánea Desde Una Visión Multidisciplinar. Libro 4. Ciencias De La Salud

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Section: Metodologíaunclassified

Actualización en el tratamiento de neuralgia del trigémino

Molina Verdugo,

Torres Criollo,

Torres Naspud

et al. 2024

Investigación Contemporánea Desde Una Visión Multidisciplinar. Libro 4. Ciencias De La Salud

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“…Nevertheless, the mechanisms giving rise to CCP are not fully understood, and even NVC can hardly explain the condition (10)(11)(12). Some researchers have hypothesized that the development of CCP may be associated with trigeminal nerve root atrophy, unmyelinated C fiber damage or central mechanisms, but substantive evidence is lacking (13)(14)(15)(16)). Although MVD is viewed as the most effective surgical procedure for TN (17,18), a certain number of patients with persistent pain do not respond well to it (19)(20)(21).…”

Section: Open Access Edited Bymentioning

confidence: 99%

Association of concomitant continuous pain in trigeminal neuralgia with a narrow foramen ovale

Li,

Liao,

Yang

et al. 2023

Front. Neurol.

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BackgroundThe pathogenesis of concomitant continuous pain remains unclear and is worthy of further study. In this clinical study, we aimed to explore the potential role of a narrow foramen ovale in the development of concomitant continuous pain.MethodsA total of 108 patients with classical trigeminal neuralgia affecting the third branch of the trigeminal nerve and 46 healthy individuals were enrolled in this study. Three-dimensional reconstructed computerized tomography images of all participants were collected, and the morphometric features of the foramen ovale were examined by two investigators who were blinded to the clinical data of the patients.ResultsIn this cohort, patients with concomitant continuous pain suffered from more sensory abnormalities (18.4% vs. 2.9%, p = 0.015) and responded more poorly to medication (74.3% vs. 91.9%, p = 0.018) than patients without concomitant continuous pain. While no significant differences regarding the mean length (5.02 mm vs. 5.36 mm, p > 0.05) and area (22.14 mm2 vs. 23.80 mm2, p > 0.05) were observed between patients with and without concomitant continuous pain, the mean width of the foramen ovale on the affected side in patients with concomitant continuous pain was significantly narrower than that in patients without concomitant continuous pain (2.01 mm vs. 2.48 mm, p = 0.003).ConclusionThis neuroimaging and clinical study demonstrated that the development of concomitant continuous pain was caused by the compression of the trigeminal nerve owing to a narrow foramen ovale rather than responsible vessels in classical trigeminal neuralgia.

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“…At present, the treatment mechanism of PMC is not clear. In recent years, because this technology is safe and effective, it has been widely used in the treatment of primary trigeminal neuralgia (1a evidence level, A level recommendation) ( Wu et al, 2022 ). Grewal et al (2018) conducted a median follow-up of 31.1 months for 222 patients with refractory trigeminal neuralgia who were treated using PMC, and all patients had remission within 12 months after PMC.…”

Section: Minimally Invasive Interventional Therapymentioning

confidence: 99%

Chinese expert consensus on minimally invasive interventional treatment of trigeminal neuralgia

Fan

et al. 2022

Front. Mol. Neurosci.

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Background and purposeTrigeminal neuralgia is a common condition that is associated with severe pain, which seriously affects the quality of life of patients. When the efficacy of drugs is not satisfactory or adverse drug reactions cannot be tolerated, minimally invasive interventional therapy has become an important treatment because of its simple operation, low risk, high repeatability and low cost. In recent years, minimally invasive interventional treatments, such as radiofrequency thermocoagulation (RF) of the trigeminal nerve and percutaneous microcompression (PMC), have been widely used in the clinic to relieve severe pain in many patients, however, some related problems remain to be addressed. The Pain Association of the Chinese Medical Association organizes and compiles the consensus of Chinese experts to standardize the development of minimally invasive interventional treatment of trigeminal neuralgia to provide a basis for its clinical promotion and application.Materials and methodsThe Pain Association of the Chinese Medical Association organizes the Chinese experts to compile a consensus. With reference to the evidence-based medicine (OCEBM) system and the actual situation of the profession, the Consensus Development Committee adopts the nominal group method to adjust the recommended level.ResultsPrecise imaging positioning and guidance are the keys to ensuring the efficacy and safety of the procedures. RF and PMC are the most widely performed and effective treatments among minimally invasive interventional treatments for trigeminal neuralgia.ConclusionsThe pain degree of trigeminal neuralgia is severe, and a variety of minimally invasive intervention methods can effectively improve symptoms. Radiofrequency and percutaneous microcompression may be the first choice for minimally invasive interventional therapy.

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Efficacy and safety of microvascular decompression versus percutaneous balloon compression in the treatment of trigeminal neuralgia: a systematic review and meta-analysis

Cited by 6 publications

References 31 publications

Actualización en el tratamiento de neuralgia del trigémino

Actualización en el tratamiento de neuralgia del trigémino

Association of concomitant continuous pain in trigeminal neuralgia with a narrow foramen ovale

Chinese expert consensus on minimally invasive interventional treatment of trigeminal neuralgia

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