Abstract
ISSN: 3066-3822
Volume 1 Issue 2
Digital Journal of Science (DJS)
Sphenopalatine Block Applications in Cluster Headache Treatment
1 Department of Anesthesiology, Muhammadiyah Lamongan Hospital, Lamongan, Indonesia.
2 Institute of Epidemiology and Preventive Medicine, National Taiwan University, Taipei, Taiwan.
*Corresponding Author: Yoseph Leonardo Samodra, 7F, College of Public Health, NTU, Taipei, Taiwan.
DOI:
Abstract
Cluster headaches are characterized by severe, short-lasting unilateral pain, lasting 15-180 minutes, accompanied by distinctive autonomic symptoms such as tearing and nasal congestion. This case report discusses a 57-year-old male with a five-year history of these headaches, which escalated in frequency recently, leading to a diagnosis of cluster headache despite various unsuccessful treatments. The patient’s condition was managed with verapamil for prophylaxis and oxygen for acute attacks, but significant relief was only achieved through a transnasal Sphenopalatine Ganglion (SPG) block with lidocaine. Consequently, Radiofrequency Ablation (RFA) of the SPG was performed due to its known role in headache pathophysiology, offering a promising alternative for patients resistant to conventional therapy. The procedure was conducted with precision under fluoroscopic guidance, resulting in immediate symptom relief. This case highlights the potential of SPG interventions in the management of chronic, intractable cluster headaches and underscores the need for further research into the long-term efficacy and safety of such techniques.
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