Percutaneous Balloon Compression of Trigeminal Gasserian Ganglion for Idiopathic Trigeminal Neuralgia
Journal of Korean Neurosurgical Society
;
: 213-217, 2004.
Artículo
en Inglés
| WPRIM
| ID: wpr-151657
ABSTRACT
OBJECTIVE:
The purpose of this study is to review the surgical results of 19 patients with idiopathic trigeminal neuralgia treated by percutaneous ballooning compression(PBC) of trigeminal gasserian ganglion under brief general anesthesia.METHODS:
The mean patient age was 63.5 years(range, 27-78). The mean follow-up period was 24 months(range, 1-46). Three patients had already undergone radiofreqnency trigeminal rhizotomy and two patients had previously microvascular decompression. The balloon was inflated by injecting radio-contrast media 0.7-1cc in amount. The mean inflating time is 81 seconds(range, 60-90).RESULTS:
During the procedure, brief intraoperative bradycardia and hypotension were noted in seven cases(36.7%). All patients had immediate relief of pain except 1 case. 18 cases(94.5%) of patients were satisfied or very satisfied with their pain relief. There were immediate, mild to moderate sensory complication of hypesthesia, dysesthesia or paraesthesia in all cases and the immediate motor complication-difficulty of mastication in 3 cases, transient 6th nerve palsy in 2 cases. The immediate motor and sensory complications disappeared or much improved after 3-4 months.CONCLUSION:
It is the simple technique that can be performed effectively in a brief period of general anesthesia. This procedure might be one of attractive methods in the treatment of idiopathic trigeminal neuralgia.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Parestesia
/
Neuralgia del Trigémino
/
Bradicardia
/
Ganglio del Trigémino
/
Estudios de Seguimiento
/
Rizotomía
/
Enfermedades del Nervio Abducens
/
Cirugía para Descompresión Microvascular
/
Hipoestesia
/
Hipotensión
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Humanos
Idioma:
Inglés
Revista:
Journal of Korean Neurosurgical Society
Año:
2004
Tipo del documento:
Artículo
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