Arthur Leclerc1,2, Mohamad Fadi Salkine3, Evelyne Emery4,5,6. 1. Department of Neurosurgery, CHU Caen, Avenue de La Côte de Nacre, 14000, Caen, France. arthur.leclerc@neurochirurgie.fr. 2. Medical School, Université Caen Normandie, 14000, Caen, France. arthur.leclerc@neurochirurgie.fr. 3. Department of Neuroradiology, CHU Caen, 14000, Caen, France. 4. Department of Neurosurgery, CHU Caen, Avenue de La Côte de Nacre, 14000, Caen, France. 5. Medical School, Université Caen Normandie, 14000, Caen, France. 6. INSERM, UMR-S U1237, Physiopathology and Imaging of Neurological Disorders (PhIND), GIP Cyceron, 14000, Caen, France.
Abstract
BACKGROUND: Surgical treatments for trigeminal neuralgia may include percutaneous techniques including the balloon compression technique. We present here a simple, effective, and safe adaptation of the historical technique described by Mullan in 1978. METHOD: Our procedure is performed in a bi-plane neuro-radiology room. During general anesthesia, 14-G needle is guided under radioscopy to foramen ovale. The 3-F embolectomy catheter is then inserted and inflated with contrast for a period of 2 min 15 s. CONCLUSION: Our technique, performed entirely under bi-plane fluoroscopy, allows a quicker and more precise surgery and avoids errors in guiding the catheter that can result serious injury.
BACKGROUND: Surgical treatments for trigeminal neuralgia may include percutaneous techniques including the balloon compression technique. We present here a simple, effective, and safe adaptation of the historical technique described by Mullan in 1978. METHOD: Our procedure is performed in a bi-plane neuro-radiology room. During general anesthesia, 14-G needle is guided under radioscopy to foramen ovale. The 3-F embolectomy catheter is then inserted and inflated with contrast for a period of 2 min 15 s. CONCLUSION: Our technique, performed entirely under bi-plane fluoroscopy, allows a quicker and more precise surgery and avoids errors in guiding the catheter that can result serious injury.