Resection of the Greater Superficial Petrosal Nerve in the Treatment of Unilateral Headache

Wj, Gardner; Stowell, A; Dutlinger, Robert P.

doi:10.3171/jns.1947.4.2.0105

Cited by 130 publications

(55 citation statements)

References 15 publications

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“…Cluster headache attack frequency can vary from one attack per week [6] to up to eight attacks per day [8,9]. Patients most commonly experience one to two attacks daily, with a median attack frequency of one attack daily [2••, [4][5][6].…”

Section: Duration and Periodicitymentioning

confidence: 99%

Migrainous features in cluster headache

Peatfield

2001

Current Science Inc

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Migraine and cluster headache have been considered entirely separate clinical syndromes, both in routine clinical practice and in the 1988 International Headache Society classification. Neurologists seeing large numbers of patients soon realize, however, that there is a considerable overlap between the two conditions. Some patients have attacks with the cardinal features of cluster headache, but also have a few symptoms (especially a visual aura) usually attributed to migraine. In addition, it is not uncommon for a patient with a lifetime's history of migraine to experience a typical bout of cluster headache, although the reverse is less common. This article reviews the published series of such patients.

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Section: Duration and Periodicitymentioning

confidence: 99%

Migrainous features in cluster headache

Peatfield

2001

Current Science Inc

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“…The first attempt to treat MH was conducted by Walter Dandy in 1931, who removed the inferior cervical and first thoracic sympathetic ganglions [20]. In 1946, Gardner resected the greater superficial petrosal nerve in 26 patients [21]. Despite having some reduction in symptoms, he reported complications such as nasal dryness, decreased tear production, and corneal ulceration.…”

Section: Rationale and Indication For Surgical Treatmentmentioning

confidence: 99%

Surgical Management of Migraine Headaches

Chung¹,

Sanniec²,

Li³

et al. 2017

Current Perspectives on Less-Known Aspects of Headache

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Although migraines are experienced by a significant portion of the population, current medical therapies often fail to completely alleviate the symptoms of many migraine sufferers, leading to significant residual disability. Within the last decade, migraine surgery has arisen as a viable option for patients who have exhausted all other medical treatments. Despite early resistance in the headache care community, it has become more accepted due to an increasing number of studies demonstrating efficacy and safety, and increasing evidence supporting the influence of peripheral nerves in the progression of migraine pathophysiology. Yet, it remains crucial to carefully select appropriate surgical candidates based on the assessment of various factors such as medication use, pain distribution, and any other medical conditions that may contribute to headache. It is equally important to ensure that the patient has a strong relationship with a neurologist for optimal medical management and postoperative medical support. After the appropriate trigger sites are identified, various techniques can be used to decompress the involved larger nerves, avulse the smaller nerves, and address any intranasal pathology that could be causing migraines.

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“…The criteria for admission to the study were (1) a positive clinical history of unilateral retro-orbital head pain occurring in a cluster Pattern, (2) parasympathetic overactivity durng the headache in the territory innervated by he sphenopalatine ganglion, (3) negative or normal results from neurological examination and evaluation, including roentgenograms of •he skull, radioisotopic brain scans, cerebral arteriography, or other appropriate studies, (4) failure to control the pain with medical therapy, and (5) headaches of sufficient severity to Prevent normal enjoyment of life.…”

Section: Syndrome Of Sphenopalatine Neuralgiamentioning

confidence: 99%