Sphenopalatine Ganglion Radiofrequency Ablation for the Management of Refractory Chronic Cluster Headache
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https://doi.org/10.5281/zenodo.7771181Anahtar Kelimeler:
Cluster headache , Radiofrequency ablation , Sphenopalatine ganglion, pain, neuralgiaÖzet
The objective of this study was to evaluate the effectiveness of percutaneous radiofrequency ablation of the sphenopalatine ganglion The outcome of 16 patients with refractory chronic cluster headache who failed pharmacological management was analyzed after a follow-up period of 24 months.
Sixteen patients with refractory chronic cluster headache who experienced temporary pain relief following sphenopalatine ganglion block underwent percutaneous radiofrequency ablation of the sphenopalatine ganglion via the infrazygomatic approach under fluoroscopic guidance. Collected data include duration of the headache and mean attack frequency before and up to 24 months after procedure.
The profile of pain-free survival after undergoing the first SPG-RFA during the follow-up time was calculated according to the Kaplan-Meier method.
The average follow-up time was 24 months (range, 18–24 mo). Acute pain relief was accomplished in all patients. Complete pain relief was achieved in 50% of the patients who underwent a single procedure at 24 months The overall pain recurrence rate was 12.5% after 24 months (range, 18–24 mo).
The mean attack frequency improved from 15 attacks/week to 5.5, 6.5, 8.0, 8.8, 8.6, 8. 5, 8.4, at 1-, 3-, 6-, 12-, 18-, 21-, 24- month follow-up visits (P < .0001, P < .0001, P < .0001, P < .002, , P < .003, P < .004, P < .004, respectively.
Percutaneous radiofrequency ablation of the sphenopalatine ganglion is minimally invasive, safe and effective procedure with a low complication rate for the treatment of refractory chronic cluster headache in clinical practice.
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Telif Hakkı (c) 2023 Euroasia Journal of Mathematics, Engineering, Natural & Medical Sciences
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