Neuronavigation-assisted percutaneous balloon compression for the treatment of trigeminal neuralgia: The technique and short-term clinical results

Aydöseli, Aydın; Akçakaya, Mehmet; Aras, Yavuz; Sabancı, Pulat Akın; Ünal, Tuğrul Cem; Sencer, Altay; Hepgül, Kemal; Ünal, Ömer Faruk; Barlas, Orhan; İzgi, Nail

doi:10.3109/02688697.2015.1019418

Cited by 30 publications

(33 citation statements)

References 31 publications

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“…89 Although fluoroscopy has been the imaging modality of choice, newer studies have demonstrated the potential usefulness of computed tomography, Dynacomputed tomography, and neuronavigation systems, especially for patients with anatomic variants that may prevent successful access with traditional means. [90][91][92][93] In 1 study of RFT, guidance with computed tomography fluoroscopy allowed for successful engagement of the foramen ovale on the first attempt, all requiring less than 40 seconds. 94 The use of neuronavigation for PBC in a series of 174 patients resulted in complete pain relief in all patients, and no complications.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Procedures for the Treatment of Trigeminal Neuralgia

Wang

Bender

Bettegowda

2016

Neurosurgery Clinics of North America

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Section: Discussionmentioning

confidence: 99%

Percutaneous Procedures for the Treatment of Trigeminal Neuralgia

Wang

Bender

Bettegowda

2016

Neurosurgery Clinics of North America

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“…Three-dimensional rotational fluoroscopy has been described as an option [13] but it requires specific training that is not part of the routine of specialists in functional neurosurgery. Intraoperative mobile CT coupled or not to a neuronavigation system is another option with good results [14], but this technology is not available at many neurosurgery services in the world.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Foramen Ovale Puncture: Usefulness of Intraoperative CT Control, in the Eventuality of a Narrow Foramen

Mendes¹,

Cunha²,

Monteiro³

et al. 2020

Stereotact Funct Neurosurg

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Background: Balloon compression of the gasserian ganglion has been a well-established percutaneous treatment of trigeminal neuralgia since the 1980s. However, puncture of the foramen ovale by conventional single-plane fluoroscopy can be difficult in cases of local anatomic abnormalities. Case Presentation: We present the case of a 49-year-old woman diagnosed with idiopathic trigeminal neuralgia refractory to pharmacological treatment. After failure of puncture by conventional fluoroscopy for percutaneous gasserian ganglion balloon compression due to a narrow foramen ovale, the patient was submitted to puncture guided by computed tomography. Conclusion: Alternative imaging methods, such as computed tomography, should be considered when puncture of the foramen ovale by conventional single-plane fluoroscopy fails, to minimize the risk of potential complications triggered by frustrated puncture attempts.

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“…Neuronavigation is a widely adopted technology in modern neurosurgery [ 3 , 4 , 6 , 9 , 11 , 17 , 18 , 27 , 28 , 35 , 36 ]. The trajectory for RF-TR is chosen along an unobstructed linear pathway through the foramen ovale, and the placement of needle tip usually does not exceed the clival line confirmed by fluoroscopy [ 4 , 11 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

Foramen ovale cannulation guided by intraoperative computed tomography with magnetic resonance image fusion plays a role in improving the long-term outcome of percutaneous radiofrequency trigeminal rhizotomy

et al. 2019

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Background Percutaneous radiofrequency trigeminal rhizotomy (RF-TR) is a well-established treatment for patients suffering from trigeminal neuralgia (TN) as a primary modality or for those refractory to medical treatment. However, few existing studies have identified intraoperative parameter or navigation technique that can be used to predict the rates of short-term or long-term pain relief. In this study, we analyzed patient characteristics, intraoperative parameters and technical factors, and postoperative changes in relation to immediate and long-term pain relief. Method This study included a total 252 patients in which 340 RF-TR were performed under the guidance of intraoperative computed tomography (iCT) alone or with magnetic resonance image (MRI) and iCT fusion imaging. Result The immediate pain relief of RF-TR with iCT alone and iCT with MR image guidance with or without cerebrospinal fluid (CSF) outflow were all above 90.4%. The 2-year pain relief rate of RF-TR using iCT alone and iCT with MR images guidance with or without CSF outflow were 47.8%, 39.8%, 71.7%, and 53.9% respectively. Significant factors for 2-year pain relief were CSF outflow, iCT with MR image fusion, non-recurrent TN, and presence of postoperative facial numbness. Conclusion This preliminary study demonstrated foramen ovale cannulation under the aid of iCT with MR image guidance could improve 2-year pain relief.

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Neuronavigation-assisted percutaneous balloon compression for the treatment of trigeminal neuralgia: The technique and short-term clinical results

Abstract: We believe that image-guided neuronavigation is useful for neurosurgeons who are at the beginning of their PBC learning curve. It may also be an alternative for particular patients with significant anatomic variations that result in an unsuccessful foramen ovale puncture.

Cited by 30 publications

References 31 publications

Percutaneous Procedures for the Treatment of Trigeminal Neuralgia

Percutaneous Procedures for the Treatment of Trigeminal Neuralgia

Percutaneous Foramen Ovale Puncture: Usefulness of Intraoperative CT Control, in the Eventuality of a Narrow Foramen

Foramen ovale cannulation guided by intraoperative computed tomography with magnetic resonance image fusion plays a role in improving the long-term outcome of percutaneous radiofrequency trigeminal rhizotomy

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