Cluster headache and sphenopalatine block

Devoghe, J.C.; Delcour, Christian

doi:10.1016/0304-3959(87)91240-1

Cited by 37 publications

(64 citation statements)

References 0 publications

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“…Despite the abortive success of the previously mentioned studies, symptomatic relief was not permanent [17,21,35]. Therefore, radiofrequency ablation (RFA) was postulated to be a more selective technique with benefits that exceed the abortive therapies of alcohol and cocaine administration.…”

Section: Review Of Clinical Datamentioning

confidence: 95%

“…One hundred and twenty patients met the criteria of cluster headaches, and of this population, 103 patients (85.8%) had complete disappearance of pain and parasympathetic signs associated with their cluster headache. Devoghel reported that 16 patients were pain free for a period of 1 to CH cluster headache 2 years, 17 patients were pain free for a period of 2 to 3 years, and an additional eight patients were pain free for a period of 3 years or more [17]. The simplest method of targeting the sphenopalatine ganglion is the self-introduction of an intranasal, cotton-tipped applicator coated with either cocaine or lidocaine.…”

Section: Review Of Clinical Datamentioning

confidence: 98%

“…Yet, despite almost a century of therapeutic interest, clinical data is scarce and the optimal technique of SPGB has yet to be determined. Noninvasive methods of blockade including intranasal application of cocaine [18,34], alcohol [17], and lidocaine [19,20] have yielded promising results. Other more invasive techniques such as radiofrequency ablation and pulsed radiofrequency have produced positive results.…”

Section: Review Of Clinical Datamentioning

confidence: 99%

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Sphenopalatine Ganglion Block in the Management of Chronic Headaches

Mojica

2017

Curr Pain Headache Rep

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Studies have demonstrated that SPG blockade and neurostimulation can provide pain relief in patients with cluster headaches, migraines, and other trigeminal autonomic cephalalgias. Patients with these conditions showed varying levels and duration of pain relief from SPG blockade. The efficacy of SPG blockade could be related to the different techniques targeting the SPG and choice of therapeutic agents. Based on current studies, SPG blockade is a safe and effective treatment for chronic headaches such as cluster headaches, migraines, and other trigeminal autonomic cephalalgias. Future studies are warranted to define the optimal image-guided technique and choice of pharmacologic agents for SPG blockade as an effective treatment for chronic headaches related to activation of the sphenopalatine ganglion.

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Section: Review Of Clinical Datamentioning

confidence: 95%

Section: Review Of Clinical Datamentioning

confidence: 98%

Section: Review Of Clinical Datamentioning

confidence: 99%

See 1 more Smart Citation

Sphenopalatine Ganglion Block in the Management of Chronic Headaches

Mojica

2017

Curr Pain Headache Rep

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“…More recently, based on new hypotheses related to the pathophysiology of CH, the SPG has been added to the potential therapeutic targets [17,35,36]. The SPG has rich parasympathetic and sympathetic components.…”

Section: Rationale Of Radiosurgery Target For Sphenopalatine Ganglionmentioning

confidence: 98%

Gamma Knife Stereotactic Radiosurgery in the Management of Cluster Headache

Kano

Kondziolka

Niranjan

et al. 2010

Curr Pain Headache Rep

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Gamma knife stereotactic radiosurgery (SRS) has proven to be an effective management approach for trigeminal neuralgia and as a minimally invasive alternative management option for cluster headache (CH). In CH, patients undergo single-session focused irradiation of the trigeminal nerve root (TN), sometimes coupled with irradiation of the sphenopalatine ganglion (SPG) as well. SRS provides early pain relief in most patients, but is associated with trigeminal sensory dysfunction in some patients. In the future, a prospective trial that compares a single target of TN to dual targets of both the TN and SPG may provide further understanding of the value of SRS for CH.

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“…Local anesthetic blockade of the SPG can be accomplished through intranasal transmucosal topical application or by transcutaneous or intraoral injections. 129 SPG blockade has primarily been studied as a treatment for acute and chronic cluster headache 56,[130][131][132][133][134][135] ; however, the list of indications has expanded over the last several years to include trigeminal neuralgia, migraine headaches, posttraumatic headache, and atypical facial pain. 136 Percutaneous radiofrequency ablation of the SPG has been recently described in multiple case series and studies and may be an effective long-term therapy for patients who have good response to diagnostic SPG blocks.…”

Section: Supraorbital and Supratrochlear Nerve Blocksmentioning

confidence: 99%