Ballooning for the treatment of trigeminal neuralgia
DOI:
https://doi.org/10.47924/neurotarget2006423Keywords:
Trigeminal Neuralgia, Microcompression, BalónAbstract
509 patients with trigeminal neuralgia treated by percutaneous microcompression of the Gasserian ganglion are presented. The operation was performed under general anesthesia and fluoroscopy. The female sex, the second and third branches or both at the same time are those most frequently affected by neuralgia. The age range was 32 and 93 years. In 478 patients (94%) the pain disappeared immediately after the operation. In 31 patients (6%) the pain did not disappear. Fifty presented otalgia that disappeared a few days later and 268 presented some degree of facial dysesthesia that decreased over time and was well tolerated. In 135, mild hypoesthesia occurred in the postoperative period, which was well tolerated and progressively subsided in the following weeks. No patient presented compromised corneal sensitivity, keratitis or painful anesthesia.
Metrics
References
Shelden CH, Pudenz RH, Freshwater DB, et al. Compression rather than decompression for trigeminal neuralgia. J Neurosug 1955; 12: 123-126.
Mullan JF, Licthor T. Percutaneous microcompression of the trigeminal ganglion for trigeminal neuralgia. J Neurosurg 1983; 59: 1007-1012.
Holzer F, Holzer J. Neuralgia del Trgémino. Tratamiento mediante microcompresión percutánea del ganglio de Gasser. Rec Dent Chile 1992; 83(3): 101-104.
Holzer J, Holzer F. Fisiopatología de la Neuralgia del Trigémino. Rev Chil Neurocirigía 1993; 31: 317-321.
Holzer F, Holzer J. Microcompresión percutánea del ganglio de Gasser para el tratamiento de la neuralgia del trigémino: Resultado en 64 pacientes. Rev Chil Oftalm 1994; 1: 31-34.
Härtel F. Die behandläng der trigeminusneuralgie mit intrakraniellen alkoholeinspritzungen. Dtsche Z Chir. 1914; 126: 429-552.
Meaney JF, Eldridge pr, Dunn LT, et al. Demostration of neurovascular compression in trigeminal neuralgia with magnetic resonance imaging. J Neurosurg 1995; 83: 799-805.
Holzer F, Holzer J, Palma A. Tratamiento quirúrgico actual de la neuralgia del trigémino. Estudio comparativo. Rev Chil Neuro-Psiquiatría 1983; 21: 317-321.
Taha JM, Tew JM. Comparison of surgical treatments for trigeminal neuralgia: Reevaluation of radiofrequency rhizotomy. Neurosurgery 1996; 38: 865-871.
Holzer J. Holzer F. Tratamiento de la neuralgia del trigémino por coagulación con radiofrecuencia. Rev Chil Neuro-Psiquiat 1991; 29(3): 204-207.
Brown JA, Gouda JJ. Percutaneous ballon compression of the trigeminal nerve. Neurosurg Clinic North Am1997; 8 (1): 53-62.
Preul M, Long P, Brown J, Velasco M, Weaver M. Autonomic and histopathological effects of percutaneous trigeminal ganglion compression in the rabbit. J Neurosurg 1990; 72: 933-940.
Setzer Z, Dever M. Ephaptic transmission in chronically demaged peripheral nerves. Neurology 1979; 29(7): 1061-1064.
Brown JA, Hoeflinger B, Long PB, Gunning WT, et al. Axon and ganglion cell injury in rabbits after percutaneous trigeminal ballon compression. Neurosurgery 1996; 38:993-1004.
Fraioli B, Esposito V, Guidetti B, Crucco G, Manfredi M. Treatment of trigeminal neuralgia by thermocoagulation, glycerolization and percutaneous compression of the gasserian ganglion and/or retrogasserian rootles. Longtemp results and therapeutic protocol. 1989; 24: 239-244.
Holzer J, Holzer F. Tratamiento quirúrgico de la neuralgia del trigémino. Rev Chil Neuro-Psiquiatría 1993; 31(3): 317-321.
Licthor T, Mullan JF. A 10 year follow-up review of percutaneous microcompression of the trigeminal ganglion. J Neurosurg 1990; 72: 49-54.
Abdennebi B, Amzar Y. Traitement de la neuralgie trigeminal essentialle par compesion Gasserienne par ballonet. Neurochirugie 1991; 37: 115-118.
Peragut JC, Gondin-Oliveira J, Fabrizi A, Sethiran M. Microcompression of Gasser´s ganglio. A treatment of essential facial neuralgia. Apropos of 70 cases. Neurochirugie 1991; 37(2): 111-114.
Zanusso M, Colombo F. Percutaneous microcompression for trigeminal neuralgia. J Neurosurg 1990; 73(5): 804-805.
Lobato R, Rivas JJ, Sarabiar R, Lamas E. Percutaneous microcompression of the gasserian ganglion for trigeminal neuralgia. J Neurosurg 1990; 72:546-553
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2006 Baabor, Jorge Holzer

This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.
