Is percutaneous balloon compression better than microvascular decompression to treat trigeminal neuralgia? A systematic review and meta-analysis

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorNASCIMENTO, Rafaela Farias Vidigal
dc.contributor.authorPIPEK, Leonardo Zumerkorn
dc.contributor.authorAGUIAR, Paulo Henrique Pires de
dc.date.accessioned2023-04-14T18:06:33Z
dc.date.available2023-04-14T18:06:33Z
dc.date.issued2023
dc.description.abstractBackground: Trigeminal neuralgia (TN) is a neuropathic pain that affects one or more branches of the trigeminal nerve. Surgical options after pharmacological failure are Microvascular Decompression (MVD) or percutaneous procedures, which include Balloon Compression (PBC). This study aims to describe pain outcomes and com-plications after PBC and MVD procedures for patients with trigeminal neuralgia.Methods: We performed a systematic review and meta-analysis on PubMed, EMBASE, LILACS, and Web of Science databases up to April 2022, following PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and meta-Analysis). Articles that separately describe pain outcome for MVD and PBC were included. MINORS tool was used for bias assessment. Meta-analysis results are presented in forest plot and funnel plot.Results: 853 studies were assessed for screening, and 11 studies met the inclusion criteria for this review. A total of 1046 patients underwent PBC and 1324 underwent MVD. The subgroup analysis for patients without multiple sclerosis shows that MVD was associated with lower number of patients with pain than PBC, with an OR value of 0.54 (95 % CI 0.34-0.84). All other analyses evidenced a tendency for better outcomes after the MVD procedure, but with no statistically significant difference.Conclusion: Considering short and long pain relief, recurrence of pain and total complications for MVD and PBC, our study found that MVD is the best surgical option available for trigeminal neuralgia.eng
dc.description.indexMEDLINE
dc.description.indexPubMed
dc.description.indexWoS
dc.description.indexScopus
dc.identifier.citationJOURNAL OF CLINICAL NEUROSCIENCE, v.109, p.11-20, 2023
dc.identifier.doi10.1016/j.jocn.2023.01.002
dc.identifier.eissn1532-2653
dc.identifier.issn0967-5868
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/53126
dc.language.isoeng
dc.publisherELSEVIER SCI LTDeng
dc.relation.ispartofJournal of Clinical Neuroscience
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright ELSEVIER SCI LTDeng
dc.subjectTrigeminal neuralgiaeng
dc.subjectNeuropathic paineng
dc.subjectBalloon compressioneng
dc.subjectMicrovascular decompressioneng
dc.subject.othertoxin type-aeng
dc.subject.othersurgical-treatmenteng
dc.subject.otherelderly-patientseng
dc.subject.otherganglioneng
dc.subject.otherpaineng
dc.subject.othercarbamazepineeng
dc.subject.othermanagementeng
dc.subject.otherdiagnosiseng
dc.subject.otheroutcomeseng
dc.subject.wosClinical Neurologyeng
dc.subject.wosNeuroscienceseng
dc.titleIs percutaneous balloon compression better than microvascular decompression to treat trigeminal neuralgia? A systematic review and meta-analysiseng
dc.typearticleeng
dc.type.categoryrevieweng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.author.externalNASCIMENTO, Rafaela Farias Vidigal:Ctr Univ FMABC, Santo Andre, SP, Brazil
hcfmusp.author.externalAGUIAR, Paulo Henrique Pires de:Santa Paula Hosp, Dept Neurosurg, Sao Paulo, Brazil; FMABC, Dept Res & Innovat, Lab Cellular & Mol Biol, Santo Andre, SP, Brazil; Pontif Catholic Univ Sao Paulo, Dept Neurol, Sch Med, Sorocaba, SP, Brazil; State Serviant Publ Hosp, Sao Paulo, Brazil
hcfmusp.citation.scopus10
hcfmusp.contributor.author-fmusphcLEONARDO ZUMERKORN PIPEK
hcfmusp.description.beginpage11
hcfmusp.description.endpage20
hcfmusp.description.volume109
hcfmusp.origemWOS
hcfmusp.origem.pubmed36634472
hcfmusp.origem.scopus2-s2.0-85146062523
hcfmusp.origem.wosWOS:000925277100001
hcfmusp.publisher.cityOXFORDeng
hcfmusp.publisher.countryENGLANDeng
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