■丛集性头痛是原发性神经血管性头痛的一种变体。一些丛集性头痛患者对药物治疗没有反应,可能从介入治疗中受益。包括蝶腭神经节阻滞和去神经支配。
■我们的目的是评估蝶腭神经节阻滞/去神经支配治疗丛集性头痛的疗效。
■在这项研究中,我们对丛集性头痛患者进行了蝶腭神经节阻滞,难以接受药物治疗,他们在2014年至2018年期间被转诊到我们的疼痛诊所。我们为所有患者注册了以下信息:人口统计数据,疼痛缓解,和疼痛强度。首先,我们进行了C臂引导下蝶腭神经节阻滞的预后评估.如果在最初的5小时内至少有50%的疼痛缓解,然后我们通过射频消融术去神经节神经。研究的主要结果(因变量)是疼痛缓解。我们跟踪患者6个月。
■在23名登记患者中,19同意介入治疗。19例患者中有15例(79%)对预后阻滞有可接受的反应。最终,11例患者接受了神经节神经切除术,4例患者不同意神经节消融术。疼痛缓解间隔48小时,去神经节后1、3和6个月分别为77、59、50和31%,分别。
■Phenopalatine神经节常规射频去神经支配可以有效降低丛集性头痛患者的疼痛强度至少几个月。
UNASSIGNED: Cluster headache is a variant of primary neurovascular headaches. some patients with cluster headache are not responsive to medical treatment and may benefit from interventional modalities, including sphenopalatine ganglion block and
denervation.
UNASSIGNED: Our purpose was to evaluate the efficacy of sphenopalatine ganglion block/
denervation in the treatment of cluster headache.
UNASSIGNED: In this study, we performed the sphenopalatine ganglion block for patients with cluster headaches, intractable to medical therapy, who were referred to our pain clinic between 2014 and 2018. We registered the following information for all patients: demographic data, pain relief, and pain intensity. First, we conducted a prognostic C-arm-guided sphenopalatine ganglion block. If there was at least 50% pain relief within the first 5 h, then we denervated the ganglion by radiofrequency ablation. The main outcome of the study (dependent variable) was pain relief. We followed the patients for 6 months.
UNASSIGNED: Among 23 enrolled patients, 19 consented to interventional treatment. Fifteen out of 19 patients (79%) had an acceptable response to the prognostic block. Ultimately, 11 patients underwent ganglion
denervation, and 4 patients did not consent for ganglion ablation. Pain relief at intervals of 48 h, and 1, 3, and 6 months after ganglion
denervation was 77, 59, 50, and 31 percent, respectively.
UNASSIGNED: Sphenopalatine ganglion conventional radiofrequency
denervation can effectively decrease the pain intensity of the patients with cluster headache for at least several months.