Percutaneous balloon compression for trigeminal neuralgia: a how I do it.

Leclerc, Arthur; Salkine, Mohamad Fadi; Emery, Evelyne · Acta Neurochir (Wien) · 2022

other · Level V

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Abstract

Surgical treatments for trigeminal neuralgia may include percutaneous techniques including the balloon compression technique. We present here a simple, effective, and safe adaptation of the historical technique described by Mullan in 1978. Our procedure is performed in a bi-plane neuro-radiology room. During general anesthesia, 14-G needle is guided under radioscopy to foramen ovale. The 3-F embolectomy catheter is then inserted and inflated with contrast for a period of 2 min 15 s. Our technique, performed entirely under bi-plane fluoroscopy, allows a quicker and more precise surgery and avoids errors in guiding the catheter that can result serious injury.

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