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Relationship between compression time and long-term hypoesthesia in primary trigeminal neuralgia treated with percutaneous balloon compression

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Abstract

Percutaneous balloon compression is a surgical method for the treatment of trigeminal neuralgia, but one of the surgical parameters, compression time, is inconclusive. To investigate the effect of compression time during balloon compression on long-term postoperative hypoesthesia in patients with primary trigeminal neuralgia and to provide guidance on relevant parameters for balloon compression in the treatment of primary trigeminal neuralgia, we conducted a nested case–control study. Patients with primary trigeminal neuralgia treated by balloon compression from March 2013 to September 2013 were divided into case group and control group according to whether there were still symptoms of hypoesthesia at present. The relationship between the compression time of balloon compression and long-term hypoesthesia was analyzed. A total of 289 trigeminal neuralgia patients treated with percutaneous balloon compression were included in this study. Multivariate logistic regression showed that compression time was significantly correlated with long-term hypoesthesia (OR = 1.91, 95% CI = 1.13–3.23, P = 0.02), and compression time was greater than one. The risk of hypoesthesia in the long-term when the compression time is longer than 1 min is 1.93 times that of 1 min. PBC is a safe and effective surgical method, and the long-term hypoesthesia is related to the compression time during operation. The longer the compression time during operation, the greater the risk of long-term hypoesthesia.

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Considering the privacy of patients, the data cannot be shared publicly. The data will be shared on reasonable request to the corresponding author.

References

  1. Society IH (2018) Headache Classification Committee of the International Headache Society (IHS) The international classification of headache disorders, 3rd edition. Cephalalgia. 38(1):1–211. https://doi.org/10.1177/0333102417738202

  2. De Cordoba JL, Garcia Bach M, Isach N, Piles S (2015) Percutaneous balloon compression for trigeminal neuralgia: imaging and technical aspects. Reg Anesth Pain Med 40(5):616–622. https://doi.org/10.1097/AAP.0000000000000292

    Article  PubMed  Google Scholar 

  3. Bendtsen L, Zakrzewska JM, Abbott J, Braschinsky M, Di Stefano G, Donnet A et al (2019) European Academy of Neurology guideline on trigeminal neuralgia. Eur J Neurol 26(6):831–849. https://doi.org/10.1111/ene.13950

    Article  CAS  PubMed  Google Scholar 

  4. Araya EI, Claudino RF, Piovesan EJ, Chichorro JG (2020) Trigeminal neuralgia: basic and clinical aspects. Curr Neuropharmacol 18(2):109–119. https://doi.org/10.2174/1570159X17666191010094350

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Mullan S, Lichtor T (1983) Percutaneous microcompression of the trigeminal ganglion for trigeminal neuralgia. J Neurosurg 59(6):1007–1012. https://doi.org/10.3171/jns.1983.59.6.1007

    Article  CAS  PubMed  Google Scholar 

  6. Asplund P, Blomstedt P, Bergenheim AT (2016) Percutaneous balloon compression vs percutaneous retrogasserian glycerol rhizotomy for the primary treatment of trigeminal neuralgia. Neurosurgery 78(3):421–8. https://doi.org/10.1227/NEU.0000000000001059. (discussion 8)

    Article  PubMed  Google Scholar 

  7. Lichtor T, Mullan JF (1990) A 10-year follow-up review of percutaneous microcompression of the trigeminal ganglion. J Neurosurg 72(1):49–54. https://doi.org/10.3171/jns.1990.72.1.0049

    Article  CAS  PubMed  Google Scholar 

  8. Lee ST, Chen JF (2003) Percutaneous trigeminal ganglion balloon compression for treatment of trigeminal neuralgia, part II: results related to compression duration. Surg Neurol 60(2):149–53. https://doi.org/10.1016/s0090-3019(03)00253-2. (discussion 53-4)

    Article  PubMed  Google Scholar 

  9. Park SS, Lee MK, Kim JW, Jung JY, Kim IS, Ghang CG (2008) Percutaneous balloon compression of trigeminal ganglion for the treatment of idiopathic trigeminal neuralgia: experience in 50 patients. J Korean Neurosurg Soc 43(4):186–189. https://doi.org/10.3340/jkns.2008.43.4.186

    Article  PubMed  PubMed Central  Google Scholar 

  10. Kourilsky A, Palpacuer C, Rogers A, Chauvet D, Wiart C, Bourdillon P, et al. (2022) Multivariate models to predict pain recurrence and sensitive complications after percutaneous balloon compression in trigeminal neuralgia. J Neurosurg 1–10. https://doi.org/10.3171/2022.2.Jns212644

  11. Li MW, Jiang XF, Niu CS (2021) Efficacy of and risk factors for percutaneous balloon compression for trigeminal neuralgia in elderly patients. Br J Neurosurg 35(3):280–284. https://doi.org/10.1080/02688697.2020.1787341

    Article  PubMed  Google Scholar 

  12. Li F, Han S, Ma Y, Yi F, Xu X, Liu Y (2014) Optimal duration of percutaneous microballoon compression for treatment of trigeminal nerve injury. Neural Regen Res 9(2):179–189. https://doi.org/10.4103/1673-5374.125347

    Article  PubMed  PubMed Central  Google Scholar 

  13. Love S, Coakham HB (2001) Trigeminal neuralgia: pathology and pathogenesis. Brain 124(Pt 12):2347–2360. https://doi.org/10.1093/brain/124.12.2347

    Article  CAS  PubMed  Google Scholar 

  14. Broggi G (2013) Percutaneous retrogasserian balloon compression for trigeminal neuralgia. World Neurosurg 79(2):269–270. https://doi.org/10.1016/j.wneu.2012.05.015

    Article  PubMed  Google Scholar 

  15. Lv W, Hu W, Chi L, Zhang L (2022) Factors that may delay disappearance of trigeminal neuralgia after percutaneous balloon compression. Neurol Neurochir Pol 56(2):156–162. https://doi.org/10.5603/PJNNS.a2022.0017

    Article  PubMed  Google Scholar 

  16. Wang H, Chen C, Chen D, Li F, Hu S, Ding W et al (2022) Clinical analysis of the treatment of primary trigeminal neuralgia by percutaneous balloon compression. Front Surg 9:843982. https://doi.org/10.3389/fsurg.2022.843982

    Article  PubMed  PubMed Central  Google Scholar 

  17. Fan X, Xu F, Ren H, Lu Z, Bu H, Ma L et al (2021) The analysis of percutaneous balloon compression on efficacy and negative emotion in the treatment of recurrent trigeminal neuralgia after surgical procedures. Pain Physician 24(8):E1255–E1262

    PubMed  Google Scholar 

  18. Ying X, Wang H, Deng S, Chen Y, Zhang J, Yu W (2017) Long-term outcome of percutaneous balloon compression for trigeminal neuralgia patients elder than 80 years: a STROBE-compliant article. Medicine (Baltimore) 96(39):e8199. https://doi.org/10.1097/MD.0000000000008199

    Article  PubMed  Google Scholar 

  19. Chen JF, Tu PH, Lee ST (2011) Long-term follow-up of patients treated with percutaneous balloon compression for trigeminal neuralgia in Taiwan. World Neurosurg 76(6):586–591. https://doi.org/10.1016/j.wneu.2011.05.021

    Article  PubMed  Google Scholar 

  20. Zheng S, Yuan R, Ni J, Liu H, Yang Y, Zhang S et al (2022) Long-term recurrence-free survival and complications of percutaneous balloon compression and radiofrequency thermocoagulation of Gasserian ganglion for trigeminal neuralgia: a retrospective study of 1313 cases. Pain Pract 22(5):532–540. https://doi.org/10.1111/papr.13114

    Article  PubMed  Google Scholar 

  21. Asplund P, Linderoth B, Bergenheim AT (2010) The predictive power of balloon shape and change of sensory functions on outcome of percutaneous balloon compression for trigeminal neuralgia. J Neurosurg 113(3):498–507. https://doi.org/10.3171/2010.2.Jns091466

    Article  PubMed  Google Scholar 

  22. Correa CF, Teixeira MJ (1998) Balloon compression of the Gasserian ganglion for the treatment of trigeminal neuralgia. Stereotact Funct Neurosurg 71(2):83–89. https://doi.org/10.1159/000029651

    Article  CAS  PubMed  Google Scholar 

  23. Campos WK, Linhares MN (2011) A prospective study of 39 patients with trigeminal neuralgia treated with percutaneous balloon compression. Arq Neuropsiquiatr 69(2A):221–226. https://doi.org/10.1590/s0004-282x2011000200016

    Article  PubMed  Google Scholar 

  24. Noorani I, Lodge A, Durnford A, Vajramani G, Sparrow O (2021) Comparison of first-time microvascular decompression with percutaneous surgery for trigeminal neuralgia: long-term outcomes and prognostic factors. Acta Neurochir (Wien) 163(6):1623–1634. https://doi.org/10.1007/s00701-021-04793-4

    Article  PubMed  Google Scholar 

  25. Yadav S, Sonone RM, Jaiswara C, Bansal S, Singh D, Rathi VC (2016) Long-term follow-up of trigeminal neuralgia patients treated with percutaneous balloon compression technique: a retrospective analysis. J Contemp Dent Pract 17(3):263–266. https://doi.org/10.5005/jp-journals-10024-1838

    Article  PubMed  Google Scholar 

  26. Abdennebi B, Bouatta F, Chitti M, Bougatene B (1995) Percutaneous balloon compression of the Gasserian ganglion in trigeminal neuralgia. Long-term results in 150 cases. Acta neurochirurgica 136(1–2):72–4. https://doi.org/10.1007/bf01411438

    Article  CAS  PubMed  Google Scholar 

  27. Fraioli B, Esposito V, Guidetti B, Cruccu G, Manfredi M (1989) Treatment of trigeminal neuralgia by thermocoagulation, glycerolization, and percutaneous compression of the gasserian ganglion and/or retrogasserian rootlets: long-term results and therapeutic protocol. Neurosurgery 24(2):239–245. https://doi.org/10.1227/00006123-198902000-00014

    Article  CAS  PubMed  Google Scholar 

  28. Brown JA, Hoeflinger B, Long PB, Gunning WT, Rhoades R, Bennett-Clarke CA et al (1996) Axon and ganglion cell injury in rabbits after percutaneous trigeminal balloon compression. Neurosurgery 38(5):993–1003. https://doi.org/10.1097/00006123-199605000-00028. (discussion -4)

    Article  CAS  PubMed  Google Scholar 

  29. Wang JY, Bender MT, Bettegowda C (2016) Percutaneous procedures for the treatment of trigeminal neuralgia. Neurosurg Clin N Am 27(3):277–295. https://doi.org/10.1016/j.nec.2016.02.005

    Article  PubMed  Google Scholar 

  30. Lv W, Hu W, Chi L, Zhang L (2022) Factors that may affect recurrence of trigeminal neuralgia after percutaneous balloon compression. J Clin Neurosci 99:248–252. https://doi.org/10.1016/j.jocn.2022.03.022

    Article  PubMed  Google Scholar 

  31. Abdennebi B, Guenane L (2014) Technical considerations and outcome assessment in retrogasserian balloon compression for treatment of trigeminal neuralgia. Series of 901 patients. Surg Neurol Int 5:118. https://doi.org/10.4103/2152-7806.137838

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgements

We express our gratitude to participants and researchers in this study.

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Author notes

  1. Qiu Xia and Haitao Huang contributed equally.

Authors and Affiliations

  1. Department of Clinical Epidemiology and Evidence-Based Medicine, The First Hospital of China Medical University, No. 155 Nanjing North Street, Shenyang, Liaoning, China

    Qiu Xia & Bo Zhou

  2. 2nd Department of Neurosurgery, The People’s Hospital of Liaoning Province, 33 Wenyi Road, Shenyang, Liaoning, China

    Haitao Huang, Yi Ma, Quancai Wang, Bin Wang, Fangkun Jing, Yangxi Xu & Yanfeng Li

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  1. Qiu Xia
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  2. Haitao Huang
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Contributions

All authors contributed to the study conception and design. The work was designed by Yanfeng Li, Haitao Huang, and Yi Ma. Material preparation and data collection were performed by Quancai Wang and Bin Wang. The interpretation of data was performed by Fangkun Jing and Yangxi Xu. The first draft of the manuscript was written by Bo Zhou and Qiu Xia, and all authors commented on the previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding authors

Correspondence to Yanfeng Li or Bo Zhou.

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Ethical approval

This study was performed in line with the principles of the Declaration of Helsinki. All research procedures were approved by the Institutional Research Review Board and the Research Ethics Committee of The People’s Hospital of Liaoning Province (approval number: 2022HS005). Patient’s personal sensitive information has been anonymized and de-identified.

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Xia, Q., Huang, H., Ma, Y. et al. Relationship between compression time and long-term hypoesthesia in primary trigeminal neuralgia treated with percutaneous balloon compression. Neurosurg Rev 46, 212 (2023). https://doi.org/10.1007/s10143-023-02124-y

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  • DOI: https://doi.org/10.1007/s10143-023-02124-y

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