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Case Reports
. 2017 Jun 21:8:125.
doi: 10.4103/sni.sni_375_16. eCollection 2017.

Abducent nerve palsy after microballoon compression of the trigeminal ganglion: Case report

Cassiano Marchi  1 , Paulo Henrique Pires de Aguiar  2   3   4 , Ana Maria Moura  1 , Giovanna Matricardi  3 , Carolina Utsunomya Muniz  3 , Rogério Aires  4 , Flávia Gehrke  4 , Natally Santiago  1 , Samuel Simis  3
Affiliations
Case Reports

Abducent nerve palsy after microballoon compression of the trigeminal ganglion: Case report

Cassiano Marchi et al. Surg Neurol Int. .

Abstract

Background: Trigeminal neuralgia (TN) is the most common type of facial neuralgia with incidence of 26.8/100,000 person year. In general, this scenario is characterized by a lancinating, unilateral, paroxysmal pain in the area of the fifth cranial nerve. Several treatment methods, including the injection of ethyl alcohol or butyl alcohol into the ganglion, the glycerol injection into the trigeminal cistern, peripheral nerve divisions, the radiofrequency thermocoagulation of the preganglionic fibers, and radiosurgery has been used for TN.

Case description: A case of a 74-year-old woman patient who undergone a treatment of TN through a compression of Meckel cave and developed a transient abducent palsy is presented. Complication regarding to a palsy of abducent nerve is discussed as well as the analysis of presumable evolving physiopathology. A critical review of literature was performed.

Conclusions: Among the procedures, we mean that percutaneous microballoon compression (PMC) is the best choice for elderly frail patients, because it had a very low associated mortality-morbidity rate and does not damage permanent the Gasserian ganglion.

Keywords: Abducent palsy; Gasserian ganglion; balloon compression; diplopia; percutaneous procedures; trigeminal neuralgia.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Radiological view shows that the foramen ovale was cannulated and the balloon catheter was inserted tenderly with radiological guide into the Meckel's cave. The catheter was inflated till 1 ml, in a desired pressure, and shape and dye was injected to confirm position
See this image and copyright information in PMC

References

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