Percutaneous Radio-frequency Thermocoagulation of the Gasserian Ganglion Guided by High-speed Real-time CT Fluoroscopy

Overview

Journal Neuroradiology

Specialties Neurology
Radiology

Date 2009 Jun 6

PMID 19499214

Citations 7

Authors

Shiro Koizuka

Shigeru Saito

Kenichi Sekimoto

Masaru Tobe

Hideaki Obata

Yoshinori Koyama

Affiliations

Soon will be listed here.

Abstract

Introduction: Although Gasserian ganglion block is an established treatment for trigeminal neuralgia, the foramen ovale cannot always be clearly visualized by classical X-ray radiography. We present a new method for percutaneous radio-frequency thermocoagulation of the Gasserian ganglion, in which computed tomography (CT) fluoroscopy is used to guide needle placement.

Methods: In the present study, 15 patients with trigeminal neuralgia underwent percutaneous radio-frequency thermocoagulation of the Gasserian ganglion guided by high-speed real-time CT fluoroscopy.

Results: Trigeminal neuralgia was improved in all patients after treatment without any severe complications. Moderate dysesthesia occurred in only one case.

Conclusion: CT fluoroscopy-guided percutaneous radio-frequency thermocoagulation of the Gasserian ganglion was safe, quick, and effective for patients with intractable idiopathic trigeminal neuralgia.

Citing Articles

Autologous conditioned serum (Orthokine) injection for treatment of classical trigeminal neuralgia: results of a single-center case series.

Aghamohammadi D, Sharifi S, Shakouri S, Eslampour Y, Dolatkhah N J Med Case Rep. 2022; 16(1):183.

PMID: 35526052 PMC: 9080139. DOI: 10.1186/s13256-022-03393-9.

Treatment Outcomes in Trigeminal Neuralgia-A Systematic Review of Domains, Dimensions and Measures.

Nova C, Zakrzewska J, Baker S, Riordain R World Neurosurg X. 2020; 6:100070.

PMID: 32123867 PMC: 7036566. DOI: 10.1016/j.wnsx.2020.100070.

Personalized needle modification for CT-guided percutaneous infrazygomatic radiofrequency ablation of the maxillary nerve through the foramen rotundum in order to treat V2 trigeminal neuralgia.

Huang B, Yao M, Liu Q, Chen Y, Ni H, Li Z J Pain Res. 2019; 12:2321-2329.

PMID: 31440076 PMC: 6666371. DOI: 10.2147/JPR.S207297.

Percutaneous Glycerol Rhizotomy for Trigeminal Neuralgia Using a Single-Plane, Flat Panel Detector Angiography System: Technical Note.

Arishima H, Kawajiri S, Arai H, Higashino Y, Kodera T, Kikuta K Neurol Med Chir (Tokyo). 2016; 56(5):257-63.

PMID: 27041633 PMC: 4870180. DOI: 10.2176/nmc.tn.2015-0286.

CT-guided nerve block: a review of the features of CT fluoroscopic guidance for nerve blocks.

Koizuka S, Nakajima K, Mieda R J Anesth. 2013; 28(1):94-101.

PMID: 23873005 DOI: 10.1007/s00540-013-1675-8.

References

Sekimoto K, Koizuka S, Saito S, Goto F . Thermogangliolysis of the Gasserian ganglion under computed tomography fluoroscopy. J Anesth. 2005; 19(2):177-9. DOI: 10.1007/s00540-005-0307-3. View

Koizuka S, Saito S, Obata H, Tobe M, Koyama Y, Takahashi A . Anatomic analysis of computed tomography images obtained during fluoroscopic computed tomography-guided percutaneous lumbar sympathectomy. J Anesth. 2008; 22(4):373-7. DOI: 10.1007/s00540-008-0663-x. View

Gusmao S, Oliveira M, Tazinaffo U, Honey C . Percutaneous trigeminal nerve radiofrequency rhizotomy guided by computerized tomography fluoroscopy. Technical note. J Neurosurg. 2003; 99(4):785-6. DOI: 10.3171/jns.2003.99.4.0785. View

Koizuka S, Saito S, Kawauchi C, Takizawa D, Goto F . Percutaneous radiofrequency lumbar facet rhizotomy guided by computed tomography fluoroscopy. J Anesth. 2005; 19(2):167-9. DOI: 10.1007/s00540-005-0303-7. View

Hakanson S . Trigeminal neuralgia treated by the injection of glycerol into the trigeminal cistern. Neurosurgery. 1981; 9(6):638-46. DOI: 10.1227/00006123-198112000-00005. View