Successful Treatment of Sphenopalatine Ganglion Radiofrequency Thermocoagulation in Trigeminal Autonomic Cephalalgia
Esra Ertilav1, Osman Nuri Aydın2, Ali Akyol1
1Aydin Adnan Menderes University Faculty of Medicine, Department of Neurology, Division of Algology, Aydin, Turkey
2Aydin Adnan Menderes University, Department of Anesthesiology, Division of Algology, Aydin, Turkey
Keywords: Sphenopalatine ganglion, cluster headache, trigeminal autonomic cephalalgia
Abstract
Sphenopalatine neuralgia (SPN) is a clinical condition characterized by unilateral periorbital, trigeminal-maxillary pain, and ipsilateral autonomic symptoms caused by peripheral irritation of the SP ganglion. SPN was a previous term for trigeminal autonomic cephalalgias (TACs), especially for cluster headache, with its pain characteristics and autonomic findings. Etiology, pain duration, and treatment response provide distinctive features. Its clinical recognition is difficult; however, distinguishing it from other headache syndromes is important to prevent inappropriate treatment approaches. This case report aimed to raise awareness of the diagnosis, differential diagnosis, and management of TACs by presenting successful treatment results with thermal coagulation directed to the SP ganglion.
Informed consent was obtained from the patient.
Externally and internally peer-reviewed.
Concept: E.E., O.N.A., Design: E.E., O.N.A., A.A., Data Collection or Processing: E.E., O.N.A., Analysis or Interpretation: E.E., O.N.A., A.A., Literature Search: E.E., O.N.A., Writing: E.E., O.N.A., A.A.
The authors have not declared any conflict of interest related to this article.
No financial support was received from any institution or person for our study.