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

P Rochat; J B Springborg; P Birkeland; N Agerlin

doi:10.1007/s00701-024-06203-x

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

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

Authors

P Rochat¹, J B Springborg², P Birkeland², N Agerlin²

Affiliations

¹ Department of Neurosurgery, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark. [email protected].
² Department of Neurosurgery, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.

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.

MeSH terms

Humans
Neuronavigation* / methods
Trigeminal Ganglion* / surgery
Trigeminal Neuralgia* / surgery