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. 2023 Dec;165(12):3905-3912.
doi: 10.1007/s00701-023-05823-z. Epub 2023 Oct 28.

Effectiveness of percutaneous balloon compression (PBC) in improving physical function and quality of life in trigeminal neuralgia: a retrospective study

Peng Huang #  1 , Hong Liu #  1 , Zhenxiu Liu  1 , Liqun Huang  1 , Min Lu  1 , Lina Wang  1 , Yaqiong Yu  2 , Xiaohong Jin  3
Affiliations

Effectiveness of percutaneous balloon compression (PBC) in improving physical function and quality of life in trigeminal neuralgia: a retrospective study

Peng Huang et al. Acta Neurochir (Wien). 2023 Dec.

Abstract

Objective: To evaluate the effectiveness of percutaneous balloon compression (PBC) in treating trigeminal neuralgia (TN) and determine improvements in quality of life (QoL) and daily functional status.

Methods: Data from primary TN (pTN) patients treated with PBC from December 2018 to April 2021 were retrospectively analyzed. Short-Form 36 (SF-36) Health Survey and Functional Independence Measure (FIM) assessments were used to evaluate patients' QoL and physical function every 6 months after surgery, and facial pain was evaluated every 3 to 6 months post-surgery.

Results: A total of 80 pTN patients were enrolled for analysis. The Barrow Neurological Institute (BNI) scores of I-II were achieved in 67 (83.8%) patients immediately after the surgery. The estimated rates of BNI I-II pain relief at one, two, and three years were 94.2%, 87.6%, and 83.2%, respectively. All aspects of the SF-36 questionnaire were significantly improved after the PBC, especially in terms of role physical (RP), bodily pain (BP), and social functioning (SF). Patients' functional outcomes measured by FIM at the 6-month follow-up examination were 108.6 ± 9.9, which was significantly improved compared with the pretreatment scores (90.8 ± 12.7). There was no difference between the severity of facial numbness in FIM and any item of the SF-36 except RP (P = 0.004) at 6 months after surgery. There was also no difference in SF-36 and FIM between patients with or without facial hyperalgesia.

Conclusions: PBC can produce long-term and stable pain relief and significantly improve the patient's QoL and physical function. However, further well-designed, high-level, evidence-based studies are needed to precisely assess the efficacy of PBC for pTN patients.

Keywords: Balloon compression; Destruction procedures; Physical function; Quality of life; Trigeminal neuralgia.

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References

    1. Abdennebi B, Mahfouf L, Nedjahi T (1997) Long-term results of percutaneous compression of the gasserian ganglion in trigeminal neuralgia (series of 200 patients). Stereotact Funct Neurosurg 68(1-4 Pt 1):190–195 - DOI - PubMed
    1. Asplund P, Blomstedt P, Bergenheim AT (2016) Percutaneous balloon compression vs percutaneous retrogasserian glycerol rhizotomy for the primary treatment of trigeminal neuralgia. Neurosurgery 78(3):421–428 - DOI - PubMed
    1. Barker FG 2nd (2007) Quality of life and individual treatment choice in trigeminal neuralgia. Pain 131(3):234–236 - DOI - PubMed
    1. Bendtsen L et al (2020) Advances in diagnosis, classification, pathophysiology, and management of trigeminal neuralgia. Lancet Neurol 19(9):784–796 - DOI - PubMed
    1. Beloeil H et al (2013) Guidelines for regional anesthetic and analgesic techniques in the treatment of chronic pain syndromes. Ann Fr Anesth Reanim 32(4):275–284 - DOI - PubMed

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