Percutaneous trigeminal ganglion balloon compression for treatment of trigeminal neuralgia, part II: results related to compression duration

Lee, Shih‐Tseng; Chen, Jyi-Feng

doi:10.1016/s0090-3019(03)00253-2

Cited by 42 publications

(28 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although the importance of a pear-shaped balloon was realised early on by Mullan and Lichtor [10] in 1983, only more recently has the technique of balloon compression been refined, for example with a lower compression time of 1-3 min compared with 5-7 min in the original description. These refinements and the greater appreciation of how the balloon shape influences the outcome have led to reduced complication rates with balloon compression [22,23,29,30,31]. Although informative discussions comparing these modalities are available [4,5,32,33,34], our data presented here are useful in allowing the neurosurgeon to compare the techniques as performed today.…”

Section: Discussionmentioning

confidence: 97%

Comparing Percutaneous Treatments of Trigeminal Neuralgia: 19 Years of Experience in a Single Centre

Noorani

Lodge

Vajramani

et al. 2016

Stereotact Funct Neurosurg

View full text Add to dashboard Cite

Background: Glycerol rhizolysis, thermocoagulation, and balloon compression are well established in the treatment of trigeminal neuralgia. Objective: To compare the outcome profile of these 3 percutaneous procedures in a single centre over a long follow-up period. Methods: Over 19 years, 393 procedures were performed on 210 trigeminal neuralgia patients. Patient records and telephone follow-up were used to determine demographic and operative details and surgical outcomes. The length of follow-up extended to over 17 years. Results: The initial rates of complete pain relief with or without medication were 72% for glycerol, 80% for thermocoagulation, and 86% for balloon compression. Kaplan-Meier analysis of recurrence times showed that balloon compression provides significantly longer relief than the other 2 procedures. Complication rates for glycerol, thermocoagulation, and balloon compression were 30.3, 27.1, and 43.5%, respectively. Analysis of repeat procedures showed no difference in recurrence times for balloon compression or thermocoagulation compared with primary procedures, but repeat glycerol procedures gave shorter recurrence times. Conclusion: Balloon compression provides longer pain relief than glycerol and thermocoagulation. Although balloon compression is more likely to give numbness and complications, the complications are largely minor and transitory. Moreover, balloon compression following previous percutaneous procedures remains highly effective.

show abstract

Section: Discussionmentioning

confidence: 97%

Comparing Percutaneous Treatments of Trigeminal Neuralgia: 19 Years of Experience in a Single Centre

Noorani

Lodge

Vajramani

et al. 2016

Stereotact Funct Neurosurg

View full text Add to dashboard Cite

show abstract

“…In addition, numerous studies have demonstrated that longer compression times do not seem to appreciably improve outcomes, while increasing rates of complications. 4,41,49,51,52 In the last few years, practice trends have shifted toward shorter compression times, with compression times of less than 60 seconds seeming to be adequate in achieving pain relief.…”

Section: Patient Outcomes Percutaneous Balloon Compressionmentioning

confidence: 99%

“…This increased risk for complications has been shown across all treatment modalities. 22,51,79 For GR, prior RFT seems to increase the risk of postoperative sensory impairment. 43 However, the number of prior procedures does not seem to correlate with the increase in complication risk.…”

Section: Refractory or Recurrent Trigeminal Neuralgiamentioning

confidence: 99%

Percutaneous Procedures for the Treatment of Trigeminal Neuralgia

Wang

Bender

Bettegowda

2016

Neurosurgery Clinics of North America

View full text Add to dashboard Cite

“…Some researchers[31323334] have proposed that percutaneous microballoon compression is suitable for patients with ophthalmic division involvement, whereas others recommend it as a first-line treatment in patients who are reluctant to have a major surgical operation, such as microvascular decompression. Therefore, percutaneous balloon compression is widely preferred for treating trigeminal neuralgia, especially for elderly patients, because of the high success rate, technical simplicity and relative safety[3536373839].…”

Section: Discussionmentioning

confidence: 99%

Optimal duration of percutaneous microballoon compression for treatment of trigeminal nerve injury

Han

et al. 2014

Neural Regen Res

View full text Add to dashboard Cite

Percutaneous microballoon compression of the trigeminal ganglion is a brand new operative technique for the treatment of trigeminal neuralgia. However, it is unclear how the procedure mediates pain relief, and there are no standardized criteria, such as compression pressure, compression time or balloon shape, for the procedure. In this study, percutaneous microballoon compression was performed on the rabbit trigeminal ganglion at a mean inflation pressure of 1,005 ± 150 mmHg for 2 or 5 minutes. At 1, 7 and 14 days after percutaneous microballoon compression, the large-diameter myelinated nerves displayed axonal swelling, rupture and demyelination under the electron microscope. Fragmentation of myelin and formation of digestion chambers were more evident after 5 minutes of compression. Image analyzer results showed that the diameter of trigeminal ganglion cells remained unaltered after compression. These experimental findings indicate that a 2-minute period of compression can suppress pain transduction. Immunohistochemical staining revealed that vascular endothelial growth factor expression in the ganglion cells and axons was significantly increased 7 days after trigeminal ganglion compression, however, the changes were similar after 2-minute compression and 5-minute compression. The upregulated expression of vascular endothelial growth factor in the ganglion cells after percutaneous microballoon compression can promote the repair of the injured nerve. These findings suggest that long-term compression is ideal for patients with recurrent trigeminal neuralgia.

show abstract

Percutaneous trigeminal ganglion balloon compression for treatment of trigeminal neuralgia, part II: results related to compression duration

Cited by 42 publications

References 15 publications

Comparing Percutaneous Treatments of Trigeminal Neuralgia: 19 Years of Experience in a Single Centre

Comparing Percutaneous Treatments of Trigeminal Neuralgia: 19 Years of Experience in a Single Centre

Percutaneous Procedures for the Treatment of Trigeminal Neuralgia

Optimal duration of percutaneous microballoon compression for treatment of trigeminal nerve injury

Contact Info

Product

Resources

About