Kim Hyung Tae, An Seon Kyeong, Jang In Su, Kim Hyoung Ihl
Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center, Jeonju, Korea.
Korean J Anesthesiol. 2009 Jul;57(1):132-136. doi: 10.4097/kjae.2009.57.1.132.
Trigeminal neuralgia is sudden, usually unilateral, severe brief stabbing recurrent pain in the distribution of one or more branches of the 5th cranial nerve. Treatments of trigeminal neuralgia include systemic trials of medications and surgical procedures such as microvascular decompression, stereotactic radiosurgery, percutaneous glycerol or alcohol rhizolysis, percutaneous radiofrequency rhizotomy, and percutaneous balloon compression (PBC). PBC of the trigeminal ganglion using a balloon catheter was introduced by Mullan and Lichtor in 1983. Since then, many papers have been published describing results of this technique. Typically, this procedure is performed under general anesthesia. However, little is known about the use of PBC for the treatment of trigeminal neuralgia in Korea. We report here our anesthetic management of percutaneous balloon compression of trigeminal ganglion for the treatment of the trigeminal neuralgia by total intravenous anesthesia.
三叉神经痛是一种突发的、通常为单侧的、严重的短暂刺痛性复发性疼痛，分布于第5对脑神经的一个或多个分支。三叉神经痛的治疗方法包括全身性药物试验和外科手术，如微血管减压术、立体定向放射外科手术、经皮甘油或酒精神经根溶解术、经皮射频神经根切断术和经皮球囊压迫术（PBC）。1983年，穆兰和利希托尔采用球囊导管对三叉神经节进行经皮球囊压迫术。从那时起，许多论文发表，描述了该技术的结果。通常，该手术在全身麻醉下进行。然而，在韩国，关于经皮球囊压迫术治疗三叉神经痛的应用知之甚少。我们在此报告通过全静脉麻醉对三叉神经节经皮球囊压迫术治疗三叉神经痛的麻醉管理。
