Percutaneous Foramen Ovale Puncture: Usefulness of Intraoperative CT Control, in the Eventuality of a Narrow Foramen.

Autor:	Mendes PD; Division of Functional Neurosurgery, Department of Neurosurgery, Lifecenter Hospital, Belo Horizonte, Brazil, pliniou@hotmail.com.; Division of Functional Neurosurgery, Department of Neurosurgery, Biocor Institute, Nova Lima, Brazil, pliniou@hotmail.com., Martins da Cunha PH; Division of Functional Neurosurgery, Department of Neurosurgery, Lifecenter Hospital, Belo Horizonte, Brazil.; Division of Functional Neurosurgery, Department of Neurosurgery, Biocor Institute, Nova Lima, Brazil., Monteiro KKO; Division of Functional Neurosurgery, Department of Neurosurgery, Lifecenter Hospital, Belo Horizonte, Brazil., Quites LV; Division of Functional Neurosurgery, Department of Neurosurgery, Lifecenter Hospital, Belo Horizonte, Brazil., Fonseca Filho GA; Division of Functional Neurosurgery, Department of Neurosurgery, Lifecenter Hospital, Belo Horizonte, Brazil.; Division of Functional Neurosurgery, Department of Neurosurgery, Biocor Institute, Nova Lima, Brazil.
Jazyk:	angličtina
Zdroj:	Stereotactic and functional neurosurgery [Stereotact Funct Neurosurg] 2021; Vol. 99 (1), pp. 75-78. Date of Electronic Publication: 2020 Sep 16.
DOI:	10.1159/000509821
Abstrakt:	Background: Balloon compression of the gasserian ganglion has been a well-established percutaneous treatment of trigeminal neuralgia since the 1980s. However, puncture of the foramen ovale by conventional single-plane fluoroscopy can be difficult in cases of local anatomic abnormalities. Case Presentation: We present the case of a 49-year-old woman diagnosed with idiopathic trigeminal neuralgia refractory to pharmacological treatment. After failure of puncture by conventional fluoroscopy for percutaneous gasserian ganglion balloon compression due to a narrow foramen ovale, the patient was submitted to puncture guided by computed tomography. Conclusion: Alternative imaging methods, such as computed tomography, should be considered when puncture of the foramen ovale by conventional single-plane fluoroscopy fails, to minimize the risk of potential complications triggered by frustrated puncture attempts. (© 2020 S. Karger AG, Basel.)
Databáze:	MEDLINE
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