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The extracapsular capsule phenomenon of percutaneous balloon compression provides adequate compression of the third branch of the trigeminal nerve: a retrospective study.
Fu, Lijun; Liu, Zuying; Bu, Huilian; Lu, Zhongyuan; Kong, Cunlong; Wang, Tao; Ma, Letian; Wen, Yuanyuan; Liu, Qingying; Wang, Zhongyu; Wang, Jian; Fan, Xiaochong.
Afiliación
  • Fu L; Department of Pain Medicine, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
  • Liu Z; Henan Province International Joint Laboratory of Pain, Cognition and Emotion, Zhengzhou, Henan Province, China.
  • Bu H; Department of Pain Medicine, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
  • Lu Z; Department of Pain Medicine, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
  • Kong C; Department of Pain Medicine, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
  • Wang T; Department of Pain Medicine, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
  • Ma L; Department of Pain Medicine, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
  • Wen Y; Department of Pain Medicine, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
  • Liu Q; Department of Pain Medicine, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
  • Wang Z; Department of Pain Medicine, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
  • Wang J; Department of Anesthesiology Perioperative Medicine, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
  • Fan X; Department of Human Anatomy, School of Basic Medical Sciences, Zhengzhou University, Zhengzhou, China.
Neurosurg Rev ; 47(1): 499, 2024 Aug 28.
Article en En | MEDLINE | ID: mdl-39196456
ABSTRACT

BACKGROUND:

Percutaneous balloon compression (PBC) is an effective, low-cost, and simple treatment for primary trigeminal neuralgia (TN). However, PBC has poor efficacy and no better solution for the third branch (V3) of TN.

METHODS:

Clinical data of 52 patients with trigeminal neuralgia treated with PBC were retrospectively analyzed. Postoperative numbness of the patient was evaluated by facial numbness at the Barrow Neurological Institute (BNI-N). The main observation was the incidence of higher numbness in the V3 than in the other two branches or equally strong numbness in the three branches in the immediate postoperative period.

RESULTS:

The efficacy values in the pear-shaped balloon group at the first postoperative day (T1), the first month (T2), in the third month (T3), and the sixth month (T4) were 96.7%, 93.3%, 93.3%, and 90%, respectively, and 1 patient (3.3%) had recurrence. The efficacy value for the extracapsular capsule group was 95.5% at all times and there were no patients with recurrence within 6 months after surgery. In the immediate postoperative period, the effective compression rate of V3 in the pear-shaped balloon group was 43.3%, and 86.4% in the extracapsular capsule group (P = 0.020). At six months of follow-up, the effective compression rate of V3 was higher in the extracapsular capsule group than in the pear-shaped balloon group.

CONCLUSIONS:

The riveted structure of the extracapsular capsule can effectively compress V3, thus performing PBC with a balloon shaped as an extracapsular capsule is a new, effective, and safe treatment option for TN V3. TRIAL REGISTRATION ClinicalTrials.gov ChiCTR2300067313.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neuralgia del Trigémino Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Neurosurg Rev Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neuralgia del Trigémino Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Neurosurg Rev Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Alemania