Work

Hybrid fluoroscopy–neuronavigation technique for percutaneous balloon compression in trigeminal neuralgia: how I do it

Year: 2026

Type: article

Abstract: Percutaneous balloon compression is an established treatment for trigeminal neuralgia, especially in patients refractory to medical therapy or unfit for open surgery. Cannulation of the foramen ovale can be challenging due to anatomical variations. This article describes a hybrid technique combining fluoroscopy and electromagnetic neuronavigation to improve accuracy and safety. Preoperative CT planning allows individualized trajectory design, while intraoperative dual guidance minimizes multiple passes. Balloon compression is performed for 1-3 min to balance efficacy and complications. This minimally invasive procedure is effective, repeatable, and particularly suitable for elderly or comorbid patients, with a short learning curve for junior surgeons.

Source: Acta Neurochirurgica

DOI: 10.1007/s00701-026-06856-w

Authors: Santi Samuele, Luglietto Davide, Montano Nicola, Ricciuti Riccardo Antonio

Institutions: Università Cattolica del Sacro Cuore, Azienda Ospedaliera San Camillo-Forlanini

Language: English

Topic: Trigeminal Neuralgia and Treatments

Subfield: Pathology and Forensic Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,990