2025, Vol. 7, Issue 2, Part C
Case report: Percutaneous balloon compression of the gasserian ganglion in a case of longstanding, medically refractory trigeminal neuralgia with unusual procedural challenge
Author(s): Anshul Agrawal, Dimpi Gulati, Ashish Goyal, Swapnil Baraskar, Dharamvir Singh, Abhimanyu Rana, Piyush Agrawal and Sushil Jaiswal
Abstract: We report the case of a 54-year-old male with a 10-year history of severe, refractory trigeminal neuralgia involving all three divisions (V1, V2, V3). Despite maximum tolerated doses of oxcarbazepine (1200 mg/day), baclofen (40 mg/day), and pregabalin (150 mg/day), his pain remained debilitating. The patient underwent Percutaneous Balloon Compression (PBC) of the Gasserian ganglion under general anaesthesia using an i-gel supraglottic airway. Intra-operatively, the foramen ovale could not be easily identified under fluoroscopy despite multiple standard approaches. After successful needle placement and completion of the procedure, postoperative evaluation revealed temporo-mandibular joint (TMJ) sub-laxation on the ipsilateral side, caused during i-gel insertion. The mandibular arch superimposition obscured the trajectory of the foramen ovale, explaining the procedural difficulty. This case emphasises the importance of airway selection and TMJ assessment during cranial base percutaneous interventions under anaesthesia, particularly when using supraglottic devices.
DOI: 10.22271/27080056.2025.v7.i2c.157Pages: 155-157 | Views: 117 | Downloads: 51Download Full Article: Click Here
How to cite this article:
Anshul Agrawal, Dimpi Gulati, Ashish Goyal, Swapnil Baraskar, Dharamvir Singh, Abhimanyu Rana, Piyush Agrawal, Sushil Jaiswal.
Case report: Percutaneous balloon compression of the gasserian ganglion in a case of longstanding, medically refractory trigeminal neuralgia with unusual procedural challenge. J Case Rep Sci Images 2025;7(2):155-157. DOI:
10.22271/27080056.2025.v7.i2c.157
