Acta Neurochirurgica

, Volume 136, Issue 1–2, pp 72–74 | Cite as

Percutaneous balloon compression of the Gasserian ganglion in trigeminal neuralgia

Long-term results in 150 cases
  • B. Abdennebi
  • F. Bouatta
  • M. Chitti
  • B. Bougatene
Clinical Articles


One hundred and fifty patients with trigeminal neuralgia were treated by percutaneous compression of the Gasserian ganglion (PCGG) during the last 8 years. The technique is the one described by Mullan with the balloon inflated during 6 minutes with 0,7 cc of contrast medium. Over a follow-up period ranging from 6 months to 8 years with an average of 4 years, one hundred and four patients (69,3%) have remained painfree. Postoperative complications included dysaesthesias in 16 patients (moderate in 15), hypo-aesthesia in 140 (moderate in 138), hypo-acousia and otalgia in ten, and masticatory weakness also in ten. The recurrence rate was 30%. The main advantages of the procedure are exceptionally severe dysaesthesias (one case), the rarity of corneal complications (4 cases), the short hospital stay (three days on average). Its disadvantage is the need for a general anaesthetic. This study shows that percutaneous compression is efficacious and technically easy.


Trigeminal neuralgia trigeminal nerve percutaneous balloon compression 


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  1. 1.
    Abdennebi B, Amzar Y (1991) Traitement de la névralgie trigéminale essentielle par compression gasserienne par ballonet. Neurochirurgie 37: 115–118PubMedGoogle Scholar
  2. 2.
    Belber CJ, Rak RA (1989) Balloon compression rhizolysis in the surgical management of trigeminal neuralgia. Neurosurgery 20: 908–913Google Scholar
  3. 3.
    Brown JA, Preul MC (1989) Percutaneous trigeminal ganglion compression for trigeminal neuralgia — experience in 22 patients and review of the literature. J Neurosurg 70: 900–904PubMedGoogle Scholar
  4. 4.
    Fraioli B, Esposito V, Guidetti B, Cruccu G, Manfried M (1989) Treatment of trigeminal neuralgia by thermocoagulatioon, glycerolisation, and percutaneous compression of the gasserian ganglion and/or retrogasserian rootlets: long term results and therapeutic protocol. Neurosurgery 24: 239–245PubMedGoogle Scholar
  5. 5.
    Frank F, Fabrizi AP (1989) Percutaneous surgical treatment of trigeminal neuralgia. Acta Neurochir (Wien) 97: 128–130Google Scholar
  6. 6.
    Lichtor T, Mullan JF (1990) A 10-year follow-up review of percutaneous microcompression of the trigeminal ganglion. J Neurosurg 72: 49–54PubMedGoogle Scholar
  7. 7.
    Meglio M, Cioni B, d'Annunzio V (1987) Percutaneous microcompression of the gasserian ganglion. Personal experience. Acta Neurochir (Wien) 39 [Suppl]: 142–143Google Scholar
  8. 8.
    Mullan S, Lichtor T (1983) Percutaneous microcompression of the trigeminal ganglion for trigeminal neuralgia. J Neurosurg 39: 1007–1012Google Scholar
  9. 9.
    Peragut JC, Gondin-Oliveira J, Fabrizi A, Sethian M (1991) La microcompression du ganglion de Gasser. Un traitement de la névralgie faciale essentielle. A propos de 70 observations. Neurochirurgie 37: 111–114PubMedGoogle Scholar
  10. 10.
    Revuelta R, Nathal E, Balderrama Jet al (1993) External carotid artery fistula due to microcompression of the gasserian ganglion for relief of trigeminal neuralgia. J Neurosurg 78: 499–500PubMedGoogle Scholar
  11. 11.
    Sindou M, Keravel Y, Abdennebi B, Szapiro J (1987) Traitement neurochirurgical de la névralgie trigéminale. Neurochirurgie 33: 89–111PubMedGoogle Scholar
  12. 12.
    Sekhar LN, Heros RC, Kerber CW (1979) Carotid-cavernous fistula following percutaneous retrogasserian procedures. Report of two cases. J Neurosurg 51: 700–706PubMedGoogle Scholar
  13. 13.
    Spaziante R, Cappabianca P, Peca C (1978) Subarachnoid hemorrhage and “normal pressure hydrocephalus”: fatal complication of percutaneous microcompression of the gasserian ganglion. Case report. Neurosurgery 22: 148–151Google Scholar

Copyright information

© Springer-Verlag 1995

Authors and Affiliations

  • B. Abdennebi
    • 1
  • F. Bouatta
    • 1
  • M. Chitti
    • 1
  • B. Bougatene
    • 1
  1. 1.Department of NeurosurgerySalim Zémirli Hospital, El Harrach, University of AlgiersAlgiersAlgeria

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