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. 2024 Jul 31;166(1):315.
doi: 10.1007/s00701-024-06203-x.

Neuronavigation assisted percutaneous balloon compression of the gasserian ganglion for trigeminal neuralgia. How I do it

P Rochat  1 , J B Springborg  2 , P Birkeland  2 , N Agerlin  2
Affiliations

Neuronavigation assisted percutaneous balloon compression of the gasserian ganglion for trigeminal neuralgia. How I do it

P Rochat et al. Acta Neurochir (Wien). .

Abstract

Background: Surgical treatment for trigeminal neuralgia includes percutaneous techniques, including balloon compression, first described in 1983 by Mullan and Lichtor (J Neurosurg 59(6):1007-1012, 6).

Method: Here we present a safe and simple navigation-assisted percutaneous technique for balloon compression, which can also be used for glycerol injection.

Conclusion: The navigation-assisted percutaneous technique for balloon compression for trigeminal neuralgia is a quick and safe treatment for patients not candidates for microvascular decompression.

Keywords: Balloon compression; Bradycardia; Complications; Glycerol injection; Limitations; Navigation assisted; Neuronavigation; Percutaneous; Surgery; Trigeminal neuralgia.

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Conflict of interest statement

None.

Figures

Fig. 1
Fig. 1
The patient is supine with the head extended approximately 15- 20 degrees. A headband mounted with the BrainLab® reference star is strapped around the forehead
Fig. 2
Fig. 2
The custom-made handle mounted with the 14 gauche needle is the same length as the BrainLab® pointer. Also shown is the Fogarty® Edwards Lifesciences® 4F catheter with the injection syringe for Omnipaque®
Fig. 3
Fig. 3
The BrainLab ® screen during the procedure with the “bull's eye” function is shown in the upper left corner
Fig. 4
Fig. 4
The inserted needle and the balloon filled with contrast medium are seen with fluoroscopy
See this image and copyright information in PMC

References

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