{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T03:07:13Z","timestamp":1779246433590,"version":"3.51.4"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T00:00:00Z","timestamp":1776124800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T00:00:00Z","timestamp":1779235200000},"content-version":"vor","delay-in-days":36,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100005743","name":"Universit\u00e0 Cattolica del Sacro Cuore","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100005743","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Acta Neurochir"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Percutaneous balloon compression is an established treatment for trigeminal neuralgia, especially in patients refractory to medical therapy or unfit for open surgery. Cannulation of the foramen ovale can be challenging due to anatomical variations. This article describes a hybrid technique combining fluoroscopy and electromagnetic neuronavigation to improve accuracy and safety. Preoperative CT planning allows individualized trajectory design, while intraoperative dual guidance minimizes multiple passes. Balloon compression is performed for 1\u20133\u00a0min to balance efficacy and complications. This minimally invasive procedure is effective, repeatable, and particularly suitable for elderly or comorbid patients, with a short learning curve for junior surgeons.<\/jats:p>","DOI":"10.1007\/s00701-026-06856-w","type":"journal-article","created":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T16:43:08Z","timestamp":1776184988000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Hybrid fluoroscopy\u2013neuronavigation technique for percutaneous balloon compression in trigeminal neuralgia: how I do it"],"prefix":"10.1007","volume":"168","author":[{"given":"Santi","family":"Samuele","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luglietto","family":"Davide","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Montano","family":"Nicola","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ricciuti Riccardo","family":"Antonio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,4,14]]},"reference":[{"issue":"6","key":"6856_CR1","doi-asserted-by":"publisher","first-page":"831","DOI":"10.1111\/ene.13950","volume":"26","author":"L Bendtsen","year":"2019","unstructured":"Bendtsen L et al (2019) European Academy of Neurology guideline on trigeminal neuralgia. Eur J Neurol 26(6):831\u2013849. https:\/\/doi.org\/10.1111\/ene.13950","journal-title":"Eur J Neurol"},{"key":"6856_CR2","doi-asserted-by":"publisher","unstructured":"Buyten J-P, Smet I, de Kelft EV (2009) Electromagnetic navigation technology for more precise electrode placement in the foramen ovale: a technical report. Neuromodulation 12(3):244\u2013249. https:\/\/doi.org\/10.1111\/j.1525-1403.2009.00222.x","DOI":"10.1111\/j.1525-1403.2009.00222.x"},{"key":"6856_CR3","doi-asserted-by":"publisher","unstructured":"Kim J, Yu JW, Rim J, Chang WS, Jung HH (2025) \u201cIntraoperative CT-Guided Neuronavigation for radiofrequency rhizotomy in trigeminal neuralgia: optimizing cannulation trajectories for individual anatomy.\u00a0Pain Med\u00a0pnaf060, https:\/\/doi.org\/10.1093\/pm\/pnaf060","DOI":"10.1093\/pm\/pnaf060"},{"issue":"6","key":"6856_CR4","doi-asserted-by":"publisher","first-page":"657","DOI":"10.1080\/02688697.2018.1504882","volume":"32","author":"MP Paranathala","year":"2018","unstructured":"Paranathala MP, Ferguson L, Bowers R, Mukerji N (2018) Percutaneous retrogasserian glycerol rhizotomy for trigeminal neuralgia: an alternative technique. Br J Neurosurg 32(6):657\u2013660. https:\/\/doi.org\/10.1080\/02688697.2018.1504882","journal-title":"Br J Neurosurg"},{"issue":"1","key":"6856_CR5","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-024-06147-2","volume":"166","author":"M Rizzi","year":"2024","unstructured":"Rizzi M, Castelli N, Martino D, Nazzi V (2024) Neuronavigated percutaneous gasserian radiofrequency thermorhizotomy for trigeminal neuralgia: how I do it. Acta Neurochir (Wien) 166(1):247. https:\/\/doi.org\/10.1007\/s00701-024-06147-2","journal-title":"Acta Neurochir (Wien)"},{"issue":"5","key":"6856_CR6","doi-asserted-by":"publisher","DOI":"10.1111\/papr.70051","volume":"25","author":"BJ Snel","year":"2025","unstructured":"Snel BJ et al (2025) 13. trigeminal neuralgia. Pain Pract 25(5):e70051. https:\/\/doi.org\/10.1111\/papr.70051","journal-title":"Pain Pract"},{"issue":"7","key":"6856_CR7","doi-asserted-by":"publisher","first-page":"1337","DOI":"10.1007\/s00701-018-3548-2","volume":"160","author":"A Wiggins","year":"2018","unstructured":"Wiggins A, Lonie M, Pimentil I, Newall N, Bodkin P, Venkatesh A (2018) Electromagnetic neuronavigation for the percutaneous treatment of trigeminal neuralgia with balloon compression: technical note and cadaveric validation study. Acta Neurochir (Wien) 160(7):1337\u20131341. https:\/\/doi.org\/10.1007\/s00701-018-3548-2","journal-title":"Acta Neurochir (Wien)"},{"key":"6856_CR8","doi-asserted-by":"publisher","first-page":"3059","DOI":"10.2147\/JPR.S374433","volume":"15","author":"Y Xia","year":"2022","unstructured":"Xia Y, Yu G, Min F, Xiang H, Huang J, Leng J (2022) The focus and new progress of percutaneous balloon compression for the treatment of trigeminal neuralgia. J Pain Res 15:3059\u20133068. https:\/\/doi.org\/10.2147\/JPR.S374433","journal-title":"J Pain Res"},{"issue":"18","key":"6856_CR9","doi-asserted-by":"publisher","first-page":"1528","DOI":"10.1097\/00029330-200609020-00005","volume":"119","author":"S Xu","year":"2006","unstructured":"Xu S, Zhang W, Chen T, Wu C, Zhou M (2006) Neuronavigator-guided percutaneous radiofrequency thermocoagulation in the treatment of intractable trigeminal neuralgia. Chin Med J (Engl) 119(18):1528\u20131535","journal-title":"Chin Med J (Engl)"},{"issue":"4","key":"6856_CR10","doi-asserted-by":"publisher","first-page":"465","DOI":"10.3344\/kjp.23186","volume":"36","author":"P-B Zhu","year":"2023","unstructured":"Zhu P-B et al (2023) New insight into the mandibular nerve at the foramen ovale level for percutaneous radiofrequency thermocoagulation. Korean J Pain 36(4):465\u2013472. https:\/\/doi.org\/10.3344\/kjp.23186","journal-title":"Korean J Pain"}],"container-title":["Acta Neurochirurgica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00701-026-06856-w","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00701-026-06856-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00701-026-06856-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T02:32:31Z","timestamp":1779244351000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00701-026-06856-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,14]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["6856"],"URL":"https:\/\/doi.org\/10.1007\/s00701-026-06856-w","relation":{},"ISSN":["0942-0940"],"issn-type":[{"value":"0942-0940","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,14]]},"assertion":[{"value":"2 January 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 April 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 April 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study describes a surgical technique and does not involve prospective research on human participants or animals. According to institutional regulations, formal ethics committee approval was not required. The procedure and the use of clinical material were conducted in accordance with institutional guidelines.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient. Identifying features were removed and the patient's eyes were obscured to preserve anonymity.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"Not applicable.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Authors\u2019 information"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"110"}}