Sphenopalatine ganglion stimulation in refractory cluster headache: clinical case and literature review

Cover Page


Cite item

Full Text

Abstract

Cluster headache is characterized by specifically intense pain when compared to other types of headache. About 10–20% of patients report no effect from conservative therapy. Research in this area has led to the use of sphenopalatine ganglion stimulation. The authors provide an up-to-date review of this method, how to select suitable patients, indications for surgery, determining its efficacy, and the risk of complications. The article presents a clinical case of a patient with cluster headache who was implanted with a stimulation system and followed up for 17 months.

About the authors

Vidzhai M. Dzhafarov

Federal Center of Neurosurgery

Author for correspondence.
Email: dzhafarow.vidzhai@mail.ru
Russian Federation, Novosibirsk

Alexander B. Dmitriev

Federal Center of Neurosurgery

Email: dzhafarow.vidzhai@mail.ru
Russian Federation, Novosibirsk

Galina I. Moysak

Federal Center of Neurosurgery

Email: dzhafarow.vidzhai@mail.ru
Russian Federation, Novosibirsk

Jamil A. Rzaev

Federal Center of Neurosurgery

Email: dzhafarow.vidzhai@mail.ru
Russian Federation, Novosibirsk

References

  1. International Headache Society, Headache Classification Committee. The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia. 2013; 33: 629–808. doi: 10.1177/0333102417738202. PMID: 29368949.
  2. Russel M. Current status of genetic discoveries in cluster headache. Ital J Neurol Sci. 1999; 20(S1): S7–S9. doi: 10.1007/pl00015007. PMID: 10662928.
  3. Fischera M., Marziniak M., Gralow I., Evers S. The incidence and prevalence of cluster headache: a meta-analysis of population-based studies. Cephalalgia. 2008; 28(6): 614–618. doi: 10.1111/j.1468-2982.2008.01592.x. PMID: 18422717.
  4. Kondratev A.V., Shnayder N.A., Shulmin A.V. [Epidemiology of headaches]. Sovremennye problemy nauki i obrazovaniya. 2015; 6: 23. (In Russ.)
  5. Jensen R., Lyngberg A., Jensen R. Burden of сluster headache. Cephalalgia. 2007; 27(6): 535–541. doi: 10.1111/j.1468-2982.2007.01330.x. PMID: 17459083.
  6. Cohen A., Burns B., Goadsby P. High-flow oxygen for treatment of cluster headache. JAMA. 2009; 302(22): 2451. doi: 10.1001/jama.2009.1855. PMID: 19996400.
  7. Ekbom K., Monstad I., Prusinski A. et al. Subcutaneous sumatriptan in the acute treatment of cluster headache: a dose comparison study. Acta Neurol Scand. 2009; 88(1): 63–69. doi: 10.1111/j.1600-0404.1993.tb04189.x. PMID: 8396833.
  8. May A. Cluster headache: pathogenesis, diagnosis, and management. Lancet. 2005; 366(9488): 843–855. doi: 10.1016/s0140-6736(05)67217-0. PMID: 16139660.
  9. Ho K., Przkora R., Kumar S. Sphenopalatine ganglion: block, radiofrequency ablation and neurostimulation — a systematic review. J Headache Pain. 2017; 18(1). doi: 10.1186/s10194-017-0826-y. PMID: 29285576.
  10. Ansarinia M., Rezai A., Tepper S. et al. Electrical stimulation of sphenopalatine ganglion for acute treatment of cluster headaches. Headache. 2010; 50(7):1164-1174. doi: 10.1111/j.1526-4610.2010.01661.x. PMID: 20438584.
  11. Isagulyan E.D., Osipova V.V., Ekusheva E.V. [Invasive neuromodulation in the treatment of refractory migraine and refractory cluster headache: inclusion criteria and review of efficacy]. RMZh. 2017; 25(24): 1779-1784. (In Russ.)
  12. Jürgens T., Schoenen J., Rostgaard J. et al. Stimulation of the sphenopalatine ganglion in intractable cluster headache: expert consensus on patient selection and standards of care. Cephalalgia. 2014; 34(13): 1100–1110. doi: 10.1177/0333102414530524. PMID: 24740514.
  13. Pedersen J., Barloese M., Jensen R. Neurostimulation in cluster headache: A review of current progress. Cephalalgia. 2013; 33(14): 1179–1193. doi: 10.1177/0333102413489040. PMID: 23687279.
  14. Schoenen J., Jensen R., Lantéri-Minet M. et al. Stimulation of the sphenopalatine ganglion (SPG) for cluster headache treatment. Pathway CH-1: A randomized, sham-controlled study. Cephalalgia. 2013; 33(10): 816–830. doi: 10.1177/0333102412473667. PMID: 23314784.
  15. Barloese M., Jürgens T., May A. et al. Cluster headache attack remission with sphenopalatine ganglion stimulation: experiences in chronic cluster headache patients through 24 months. J Headache Pain. 2016; 17(1): 67. doi: 10.1186/s10194-016-0658-1. PMID: 27461394.
  16. Jürgens T., Barloese M., May A. et al. Long-term effectiveness of sphenopalatine ganglion stimulation for cluster headache. Cephalalgia. 2016; 37(5): 423–434. doi: 10.1177/0333102416649092. PMID: 27461394.
  17. Sanders M., Zuurmond W. Efficacy of sphenopalatine ganglion blockade in 66 patients suffering from cluster headache: a 12- to 70-month follow-up evaluation. J Neurosurg. 1997; 87(6): 876–880. doi: 10.3171/jns.1997.87.6.0876. PMID: 9384398.
  18. Tepper S., Rezai A., Narouze S. et al. Acute treatment of intractable migraine with sphenopalatine ganglion electrical stimulation. Headache. 2009; 49(7): 983–989. doi: 10.1111/j.1526-4610.2009.01451.x. PMID: 19486173.
  19. William A., Azad T., Brecher E. et al. Trigeminal and sphenopalatine ganglion stimulation for intractable craniofacial pain—case series and literature review. Acta Neurochir (Wien). 2016; 158(3): 513–520. doi: 10.1007/s00701-015-2695-y. PMID: 26743912.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2021 Dzhafarov V.M., Dmitriev A.B., Moysak G.I., Rzaev J.A.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77-83204 от 12.05.2022.


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies