Sphenopalatine Ganglion Stimulation for Chronic Headache Syndromes.

Q2 Medicine
Progress in neurological surgery Pub Date : 2020-01-01 Epub Date: 2020-07-21 DOI:10.1159/000509619
Jan Vesper, Guilherme Santos Piedade, Rahel Hoyer, Philipp J Slotty
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引用次数: 2

Abstract

Neuropathic facial pain is notoriously difficult to treat, regardless of its origin and duration. Since the first reported sphenopalatine ganglion blockade by Sluder in 1908, this ganglion has assumed an important role among the structures targeted for the treatment of facial pain. Recent years have witnessed the rise of neuromodulation over ablative procedures, including the development of an implantable stimulation device specially designed for use in the pterygopalatine fossa. Sphenopalatine ganglion stimulation has been demonstrated as effective and safe for refractory cluster headache, today the major indication for this therapy, but increasing evidence shows that the effect on the autonomic system and cerebral circulation could justify an even wider use of sphenopalatine ganglion stimulation for other chronic headache syndromes and vascular diseases.

蝶腭神经节刺激治疗慢性头痛综合征。
神经性面部疼痛是出了名的难以治疗,无论其起源和持续时间如何。自1908年Sluder首次报道蝶腭神经节阻滞以来,该神经节在治疗面部疼痛的目标结构中起着重要作用。近年来,在消融手术中神经调节的兴起,包括专门设计用于翼腭窝的植入式刺激装置的发展。刺激蝶蝶神经节已被证明对难治性丛集性头痛是有效和安全的,但越来越多的证据表明,对自主神经系统和脑循环的影响可以证明更广泛地使用刺激蝶蝶神经节治疗其他慢性头痛综合征和血管疾病是合理的。
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来源期刊
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期刊介绍: Published since 1966, this series has become universally recognized as the most significant group of books serving neurological surgeons. Volumes feature contributions from distinguished international surgeons, who brilliantly review the literature from the perspective of their own personal experience. The result is a series of works providing critical distillations of developments of central importance to the theory and practice of neurological surgery.
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