电磁神经导航在经皮球囊压迫治疗三叉神经痛中的应用：技术说明及尸体验证研究
Electromagnetic neuronavigation for the percutaneous treatment of trigeminal neuralgia with balloon compression: technical note and cadaveric validation study.
作者信息
Wiggins Anthony, Lonie Megan, Pimentil Iona, Newall Nicola, Bodkin Peter, Venkatesh Asha
机构信息
Department of Neurosurgery, Aberdeen Royal Infirmary, Foresterhill, Aberdeen, AB25 2ZN, UK.
University of Aberdeen, Aberdeen, UK.
出版信息
Acta Neurochir (Wien). 2018 Jul;160(7):1337-1341. doi: 10.1007/s00701-018-3548-2. Epub 2018 Apr 19.
BACKGROUND
Several techniques have been described for the percutaneous treatment of trigeminal neuralgia; however, each has significant drawbacks. We propose a new technique for percutaneous balloon compression of the trigeminal ganglion and distal trigeminal nerve using electromagnetic (EM) neuronavigation.
METHODS
The procedure was performed in 17 consecutive patients with trigeminal neuralgia. Patients were then followed up with telephone interview. We also performed a cadaveric validation study to further investigate the accuracy of the technique using dye.
RESULTS
Excellent clinical outcomes were achieved with a reduction in the median pain score from 10 out of 10 to 0 out of 10 following the procedure. The cadaveric study also demonstrated a high rate of foramen ovale cannulation.
CONCLUSION
EM-based targeting of the foramen ovale and balloon inflation within Meckel's cave is a quick, reproducible and straightforward technique for the percutaneous treatment of trigeminal neuralgia.
背景
已经描述了几种经皮治疗三叉神经痛的技术；然而，每种技术都有明显的缺点。我们提出了一种使用电磁（EM）神经导航对三叉神经节和三叉神经远端进行经皮球囊压迫的新技术。
方法
对17例连续的三叉神经痛患者进行了该手术。然后通过电话访谈对患者进行随访。我们还进行了一项尸体验证研究，以使用染料进一步研究该技术的准确性。
结果
手术成功，术后中位疼痛评分从10分中的10分降至10分中的0分。尸体研究也显示卵圆孔插管成功率很高。
结论
基于电磁的卵圆孔靶向定位和在梅克尔腔内置入球囊是一种快速、可重复且直接的经皮治疗三叉神经痛的技术。
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