Comparative analysis of balloon compression and radiofrequency ablation in idiopathic trigeminal neuralgia: a retrospective study with a 24 month follow-up. [Turk J Anaesthesiol Reanim]
Turk J Anaesthesiol Reanim. Ahead of Print: TARD-53533

Comparative analysis of balloon compression and radiofrequency ablation in idiopathic trigeminal neuralgia: a retrospective study with a 24 month follow-up.

Anuj Jain
Department Of Anaesthesiology,all India Institute Of Medical Sciences,bhopal,india

Introduction: Trigeminal neuralgia (TN) is a common cause of facial pain with a prevalence of 40 per million.This is a retrospective 24 month follow-up study of 20 idiopathic drug resistant TN patients, who underwent balloon compression (BC) or radiofrequency ablation (RFA).
Material and Method: BC was done when neuralgia was affecting more than one divisions or it was involving ophthalmic division. RFA was done in neuralgia involving isolated mandibular or maxillary division.
Results: NRS was lower in the BC group at all the time points but the difference was statistically non-significant. The proportion of patients developing recurrence of pain was lower in the BC group but the difference was not significant (P-value 0.63). The proportion of patients requiring repeat procedure was lower in the BC group but the difference was non-significant.There was no statistically significant correlation between recurrence of pain, age of the patient and number of divisions in which neuralgia was present.
Discussion: In BC,a pear shape of the balloon is desirable but it is not always achievable.Recurrence of pain in BC group was comparable to that in the available literature but the recurrence rate in RFA group was comparatively higher.The complications in BC were higher but they were transient and improved with time.
Conclusion: BC and RFA are effective modalities of treatment for idiopathic TN with comparable results. BC may be more convenient in TN involving multiple divisions.

Keywords: trigeminal neuralgia, balloon compresion, radiofrequency ablation, gasserian ganglion.




Corresponding Author: Anuj Jain, India


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