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Percutaneous Balloon Compression (PBC)

Percutaneous Balloon Compression (PBC)

The procedure you're referring to is called "Percutaneous Balloon Compression (PBC)" for trigeminal neuralgia. This minimally invasive procedure is used to treat trigeminal neuralgia, a condition characterized by sudden, severe facial pain typically affecting one side of the face. Here's an overview of percutaneous balloon compression (PBC) and how it compares to other treatments for trigeminal neuralgia: Percutaneous Balloon Compression (PBC): Procedure: In PBC, a thin, flexible catheter with a balloon at its tip is inserted through the cheek and into the foramen ovale, a natural opening in the skull through which the trigeminal nerve passes. Once the catheter is properly positioned, the balloon is inflated, compressing the trigeminal nerve against the surrounding bone. Mechanism: The compression of the trigeminal nerve interrupts the transmission of pain signals, providing relief from trigeminal neuralgia. Effectiveness: PBC has been shown to provide significant pain relief in many patients with trigeminal neuralgia, with some studies reporting long-term success rates ranging from 70% to 90%. Microvascular Decompression (MVD): Procedure: MVD is a surgical procedure in which the trigeminal nerve is decompressed by moving or removing blood vessels that may be compressing the nerve. Mechanism: By relieving pressure on the trigeminal nerve, MVD aims to alleviate pain and reduce the frequency of trigeminal neuralgia attacks. Effectiveness: MVD is considered highly effective for trigeminal neuralgia, with success rates ranging from 80% to 95%. However, it is a more invasive procedure than PBC and carries a higher risk of complications. Radiofrequency Rhizotomy (RF): Procedure: In RF rhizotomy, a needle-like electrode is inserted through the cheek and into the foramen ovale, where radiofrequency energy is used to selectively destroy the portion of the trigeminal nerve responsible for transmitting pain signals. Mechanism: By disrupting the function of the trigeminal nerve, RF rhizotomy provides pain relief for trigeminal neuralgia. Effectiveness: RF rhizotomy is effective for many patients with trigeminal neuralgia, with success rates ranging from 70% to 90%. However, pain relief may not be as long-lasting as with PBC or MVD. When considering treatment options for trigeminal neuralgia, factors such as the severity of symptoms, the patient's overall health, and individual preferences should be taken into account. Patients should discuss the potential benefits, risks, and success rates of each treatment option with their healthcare provider to determine the most appropriate course of action for their specific situation.