Efficacy analysis of microvascular decompression and percutaneous balloon compression for trigeminal neuralgia secondary to vertebrobasilar dolichoectasia: a retrospective cohort study - Takeaways - MDSpire

Efficacy analysis of microvascular decompression and percutaneous balloon compression for trigeminal neuralgia secondary to vertebrobasilar dolichoectasia: a retrospective cohort study

  • By

  • Ziwei Gao

  • Renfu Liu

  • Peng Lin

  • Xiangtao Zhang

  • Yawen Xu

  • Yuanxiang Lin

  • Peisen Yao

  • August 21, 2025

  • 0 min

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  • 1

    Trigeminal neuralgia secondary to vertebrobasilar dolichoectasia (VBD-TN) is rare, comprising 2% to 7.7% of trigeminal neuralgia cases.

  • 2

    Microvascular decompression (MVD) is the preferred treatment for classical trigeminal neuralgia but is more complex in VBD-TN cases.

  • 3

    Percutaneous balloon compression (PBC) is a minimally invasive alternative that offers simpler procedural complexity for trigeminal neuralgia.

  • 4

    This study retrospectively analyzed the efficacy and safety of MVD versus PBC in treating VBD-TN at the First Affiliated Hospital of Fujian Medical University.

  • 5

    Patient selection for MVD or PBC was based on specific contraindications and patient preferences regarding surgical risks and postoperative numbness.

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