Skip to main content
SpringerLink
Log in
Book cover

Handbook of Trigeminal Neuralgia pp 151–160Cite as

Percutaneous Microballoon Compression for Trigeminal Neuralgia

  • Chapter
  • First Online:

Abstract

In patients of trigeminal neuralgia, (TGN) early surgical intervention is indicated, when medical therapy becomes refractory (Level C) [1]. Microvascular decompression (MVD) is the standard surgical option, when there is a neurovascular compression in the Meckle’s cave. However, elderly patients with multiple co-morbid conditions are not suitable candidates for such complex posterior fossa surgeries [2, 3].

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD   129.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Cruccu G, Gronseth G, Alksne J, Argoff C, Brainin M, Burchiel K, Nurmikko T, Zakrzewska JM, American Academy of Neurology Society, European Federation of Neurological Society. AAN-EFNS guidelines on trigeminal neuralgia management. Eur J Neurol. 2008;15:1013–28.

    Article  CAS  Google Scholar 

  2. Brown JA. Percutaneous balloon compression for trigeminal neuralgia. Clin Neurosurg. 2009;56:73–8.

    PubMed  Google Scholar 

  3. Revuelta-Gutierrez R, Martinez-Anda JJ, Coll JB, Campos-Romo A, Perez-Peña N. Efficacy and safety of root compression of trigeminal nerve for trigeminal neuralgia without evidence of vascular compression. World Neurosurg. 2013;80:385–9.

    Article  Google Scholar 

  4. Mullan S, Lichtor T. Percutaneous microcompression of the trigeminal ganglion for trigeminal neuralgia. J Neurosurg. 1983;59:1007–12.

    Article  CAS  Google Scholar 

  5. Shelden CH, Pudenz RH, Freshwater DB, Crue BL. Compression rather than decompression for trigeminal neuralgia. J Neurosurg. 1955;12:123–6.

    Article  CAS  Google Scholar 

  6. Yadav YR, Yadav N, Pande S, Parihar V, Ratre S, Khare Y. Trigeminal neuralgia. Asian J Neurosurg. 2017;12:585–97.

    Article  Google Scholar 

  7. Gerber AM. Improved visualization of the foramen ovale for percutaneous approaches to the gasserian ganglion. Technical note. J Neurosurg. 1994;80:156–9.

    Article  CAS  Google Scholar 

  8. Urculo E, Martinez L, Arrazola M, Ramirez R. Macroscopic effects of percutaneous trigeminal ganglion compression (Mullan’s technique): an anatomic study. Neurosurgery. 1995;36:776–9.

    Article  CAS  Google Scholar 

  9. Kouzounias K, Schechtmann G, Lind G, Winter J, Linderoth B. Factors that influence outcome of percutaneous balloon compression in the treatment of trigeminal neuralgia. Neurosurgery. 2010;67:925–34.

    Article  Google Scholar 

  10. Park SS, Lee MK, Kim JW, Jung JY, Kim IS, Ghang CG. Percutaneous balloon compression of trigeminal ganglion for the treatment of idiopathic trigeminal neuralgia: experience in 50 patients. J Korean Neurosurg Soc. 2008;43:186–9.

    Article  Google Scholar 

  11. Lobata RD, Rivas JJ, Sarabia R, Lamas E. Percutaneous microcompression of the gasserian ganglion for trigeminal neuralgia. J Neurosurg. 1990;72:546–53.

    Article  Google Scholar 

  12. Brown JA, Preul MC. Trigeminal depressor response during percutaneous microcompression of the trigeminal ganglion for trigeminal neuralgia. Neuro-surgery. 1988;23:745e8.

    Google Scholar 

  13. Belber CJ, Rak RA. Balloon compression rhizolysis in the surgical management of trigeminal neuralgia. Neurosurgery. 1987;20:908e13.

    Google Scholar 

  14. Arasho B, Sandu N, Spiriev T, Prabhakar H, Schaller B. Management of the trige-minocardiac reflex: facts and own experience. Neurol India. 2009;57:375e80.

    Google Scholar 

  15. Dominguez J, Lobato RD, Rivas JJ, Gargallo MC, Castells V, Gozalo A, Sarabia R. Changes in systemic blood pressure and cardiac rhythm induced by therapeutic compression of the trigeminal ganglion. Neurosurgery. 1994;34:422e7.

    Article  Google Scholar 

  16. Bereiter DA, Gann DS. Adrenal secretion of catecholamines evoked by chemical stimulation of trigeminal nucleus caudalis in the cat. Neuroscience. 1988;25:697e704.

    Article  Google Scholar 

  17. Chen CY, Luo CF, Hsu YC, Chen JF, Day YJ. Comparison of the effects of atropine and labetalol on trigeminocardiac reflex-induced hemodynamic alterations during percutaneous microballoon compression of the trigeminal ganglion. Acta Anaesthesiol Taiwan. 2012;50:153–8.

    Article  Google Scholar 

  18. Langford P, Holt ME, Danks RA. Cavernous sinus fistula following percutaneous balloon compression of the trigeminal ganglion. Case report. J Neurosurg. 2005;103:176–8.

    Article  Google Scholar 

  19. Spaziante R, Cappabianca P, Peca C. Subarachnoid hemorrhage and normal pressure hydrocephalus-fatal complication of percutaneous microcompression of the Gasserian ganglion. Case report. Neurosurgery. 1988;22:148–51.

    CAS  PubMed  Google Scholar 

  20. Tubbs RS, Dixon J, Loukas M, Cohen-Gadol AA. Regional vascular relationships to the foramen ovale: an anatomical study with application to approaches to the external skull base with an emphasis on transcutaneous procedures foe the treatment of trigeminal neuralgia. J Neurosurg. 2010;113:493–7.

    Article  Google Scholar 

  21. Lopez BC, Hamlyn PJ, Zakrzewska JM. Systemic review of ablative neurosurgical techniques for the treatment of trigeminal neuralgia. Neurosurgery. 2004;54:973–82.

    Article  Google Scholar 

  22. Kefalopoulou Z, Markaki E, Constantoyannis C. Avoiding abducens nerve palsy during the percutaneous balloon compression procedure. Stereotact Funct Neurosurg. 2009;87:101–4.

    Article  Google Scholar 

  23. Chroni E, Constantoyannis C, Prasoulis I, Kargiotis O, Kagadis GC, Georgiopoulos M, Polychronopoulos P. Masseter muscle function after percutaneous balloon compression of trigeminal ganglion for the treatment of trigeminal neuralgia: a neurophysiological follow-up study. Clin Neurophysiol. 2011;122:410–3.

    Article  Google Scholar 

  24. Ahn KS, Lee MK, Hwang SH, Lee JE, Cho CW, Kim DJ. Percutaneous balloon compression of trigeminal ganglion for the treatment of idiopathic trigeminal neuralgia. J Korean Neurosurg Soc. 2004;36:213–7.

    Google Scholar 

  25. Agazzi S, Chang S, Drucker MD, Youssef AS, Van Loveren HR. Sudden blindness as a complication of percutaneous trigeminal procedures: mechanism analysis and prevention. J Neurosurg. 2009;110:638–41.

    Article  Google Scholar 

  26. Urculo E, Alfaro R, Arrazola M, Astudillo E, Rejas G. Trochlear nerve palsy after repeated percutaneous balloon compression for recurrent trigeminal neuralgia: Case report and pathogenic considerations. Neurosurgery. 2004;54:505–8.

    Article  Google Scholar 

  27. Li F, Han S, Ma Y, Yi F, Xu X, Liu Y. Optimal duration of percutaneous microballoon compression for treatment of trigeminal nerve injury. Neural Regen Res. 2014;9:179–89.

    Article  Google Scholar 

  28. Zanusso M, Curri D, Landi A, Colombo F, Volpin L, Cervellini P. Pressure monitoring inside Meckel’s cave during percutaneous micro-compression of gasserian ganglion. Stereotact Funct Neurosurg. 1991;56:37–43.

    Article  CAS  Google Scholar 

  29. Bergenheim AT, Asplund P, Linderoth B. Percutaneous retrogasserian balloon compression for trigeminal neuralgia: review of critical technical details and outcomes. World Neurosurg. 2013;79:359–68.

    Article  Google Scholar 

  30. Brown JA, McDaniel MD, Weaver MT. Percutaneous trigeminal nerve compression for treatment of trigeminal neuralgia: results in 50 patients. Neurosurgery. 1993;32:570–3.

    Article  CAS  Google Scholar 

  31. Tatli M, Satici O, Kanpolat Y, Sindou M. Various surgical modalities for trigeminal neuralgia: literature study of respective long-term outcomes. Acta Neurochir. 2008;150:243–55.

    Article  CAS  Google Scholar 

  32. Stomal-Słowińska M, Słowiński J, Lee TK, Uitti RJ, Deen HG, Reimer R, Cheshire WP Jr, Herzog-Bryan G, Wharen RE Jr. Correlation of clinical findings and results of percutaneous balloon compression for patients with trigeminal neuralgia. Clin Neurol Neurosurg. 2011;113:14–21.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Anaesthesiology, Critical Care, and Pain Medicine, All India Institute of Medical Sciences (AIIMS), New Delhi, India

    Virender Kumar Mohan & Debesh Bhoi

Authors
  1. Virender Kumar Mohan
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Debesh Bhoi
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Neuroanaesthesiology and Critical Care, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India

    Girija Prasad Rath

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Mohan, V.K., Bhoi, D. (2019). Percutaneous Microballoon Compression for Trigeminal Neuralgia. In: Rath, G. (eds) Handbook of Trigeminal Neuralgia. Springer, Singapore. https://doi.org/10.1007/978-981-13-2333-1_20

Download citation

  • DOI: https://doi.org/10.1007/978-981-13-2333-1_20

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-2332-4

  • Online ISBN: 978-981-13-2333-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation