Journal Information
Vol. 16. Issue 2.
Pages 177-182 (January 2005)
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Vol. 16. Issue 2.
Pages 177-182 (January 2005)
Acute subdural and intratemporal hematoma as a complication of percutaneous compression of the gasserian ganglion for trigeminal neuralgia
Hematoma subdural e intraparenquimatoso agudo como complicación de la compresión percutánea del ganglio de Gasser
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I. Arrese
, R.D. Lobato, J.F. Alen, A. Lagares, P. Miranda
Service of Neurosurgery. Hospital 12 de Octubre. Madrid
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Summary

The case of a 68 year-old man who developed a fatal intracranial hemorrhagic complication following percutaneous compression of the gasserian ganglion for trigeminal neuralgia is reported. The complication was likely related to improper placement of the Fogarty catheter into the temporal fossa out of the Meckel,s cave. The anatomical structures at risk of damage by misplaced needle or catheter and some relevant thecnical details aimed to prevent extratrigeminal complications related with this and other percutaneous trigeminal lesioning procedures are analyzed.

Key words:
trigeminal neuralgia
Gasserian ganglion
Intracerebral hemorrhage
Subdural hematoma
Percutaneous compression trigeminal ganglion
Abreviations used in this paper:
PCTG
RF
Resumen

Se presenta el caso de un paciente de 68 años de edad con neuralgia esencial del trigémino que fue operado mediante compresión percutánea del ganglio de Gasser y desarrolló una hemorragia intracraneal que resultó fatal. La complicación se relacionó probablemente con el emplazamiento erróneo del catéter de Fogarty y el inflado del balón fuera del cavum de Meckel. Se analiza la disposición de las estructuras anatómicas susceptibles de sufrir daño mecánico durante este procedimiento quirúrgico y se comentan algunos aspectos técnicos a tener en cuenta para prevenir el desarrollo de complicaciones como la ocurrida en nuestro paciente.

Palabras clave:
Neuralgia trigeminal
Ganglio de Gasser
Compresión percutánea del ganglio trigeminal

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