Effects of cranial nerve blockage in patients with chronic migraine resistant to first-line treatment

Evcılı, Gökhan; Yabalak, Ahmet

doi:10.28982/josam.1000962

Cited by 1 publication

(3 citation statements)

References 19 publications

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“…5,6,8,10,11 In addition, while the effects of PNB on the frequency and severity of pain have been evaluated in studies, the number of studies evaluating the effect on the migraine disability score is limited. [4][5][6] We also perform PNB on migraine patients in our clinic, and in our previously published study, 12 in line with data in the literature, we found that it was an effective treatment option. In our clinic, we have sometimes stopped use of prophylactic medications before PNB in some patients.…”

Section: Introductionsupporting

confidence: 83%

“…We also perform PNB on migraine patients in our clinic, and in our previously published study, 12 in line with data in the literature, we found that it was an effective treatment option. In our clinic, we have sometimes stopped use of prophylactic medications before PNB in some patients.…”

Section: Introductionsupporting

confidence: 82%

“…In many studies, 8 10 12 16 GON block was performed in patients who did not respond to drug treatment, and these patients continued to use their medications. We found one study in the literature in which patients who underwent GON block alone and in combination with prophylactic medication treatment were evaluated.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of the efficacy of peripheral nerve block alone in episodic and chronic migraine patients

Evcili

Yabalak

2023

Arq Neuropsiquiatr

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Background Peripheral nerve block (PNB) is usually performed in patients with migraine who are resistant to treatment with medications. Objective To compare the efficacy of PNB alone and PNB combined with prophylactic medications in migraine patients. Method The data on migraine patients who underwent PNB in our clinic between November 2019 and January 2022 were retrospectively reviewed. Blocks of the greater occipital nerve (GON), lesser occipital nerve (LON) and supraorbital nerve (SON) were performed upon admission and in the second week. Results The study included 116 patients. While 21 out of 39 episodic migraine (EM) patients continued to use prophylactic medications, 18 were followed up with PNB alone. While 49 out of 77 chronic migraine (CM) patients continued to use prophylactic medications, 28 were followed up with PNB alone. Comparison of the admission and second-month data of the patients who only underwent PNB and those who continued the drug treatment together with PNB in both the EM and the CM group showed that the number of days with pain, number of analgesics taken and scores on the Visual Analog Scale (VAS) and the Migraine Disability Assessment (MIDAS) were significantly reduced in both groups (p < 0.01). Comparison of the second-month data of the patients followed up with PNB alone and those followed up with PNB together with prophylactic medications showed that there was no significant difference between the EM and CM patients (p > 0.05). Conclusion Bilateral GON, LON and SON block with lidocaine injection seems to be an effective treatment on its own, without the need for prophylactic medications, in both EM and CM patients during a two-month follow-up.

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Section: Introductionsupporting

confidence: 83%

Section: Introductionsupporting

confidence: 82%

See 1 more Smart Citation

Evaluation of the efficacy of peripheral nerve block alone in episodic and chronic migraine patients

Evcili

Yabalak

2023

Arq Neuropsiquiatr

Self Cite

View full text Add to dashboard Cite

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Effects of cranial nerve blockage in patients with chronic migraine resistant to first-line treatment

Abstract: How to cite: Evcili G, Yabalak A. Effects of cranial nerve blockage in patients with chronic migraine resistant to first-line treatment.

Cited by 1 publication

References 19 publications

Evaluation of the efficacy of peripheral nerve block alone in episodic and chronic migraine patients

Evaluation of the efficacy of peripheral nerve block alone in episodic and chronic migraine patients

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