Sphenopalatine ganglion microstimulator surgical insertion. Anesthetic management and literature review
DOI:
https://doi.org/10.30445/rear.v11i3.715Keywords:
review, anesthesia, sphenopalatine ganglion, microstimulator, neurostimulation, cluster headache, SUNCTAbstract
Cluster headache is a trigeminal-autonomic headache with severe symptoms due to recurrent intense pain and ipsilateral autonomic manifestations. Medical treatment is not always succesful or may be poorly tolerated for side effects. The development of surgical technics who involve the stimulation of the pain centers, is a new and hopeful tool for these patients. Althought a correct surgery, anesthesia may be careful and must fit into a board surgical orofacial field. We expose a case for chronic and refractory cluster headache, treated by sphenopalatine ganglion microstimulator surgical insertion under general anesthesia.
References
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- Fischera M, Marziniak M, Gralow I, Ever S. The incidence and prevalence of cluster headache: a meta-analysis of population based studies. Cephalalgia. 2008;28:614-8.
- Granella F, Micieli G, Zanferrai C, Cavallini A, Manzoni GC, Nappi GC. Natural history of cluster headache: an epidemiological study. Cephalalgia. 1987;7(suppl.6):319-20.
- May A. update on the diagnosis and managet of trigémino-autonomic headaches. J Neurol. 2006;253:1525-32.
- Dodick DW, Capmbell JK. Cluster headache: diagnosis, managment and treatment. En: Silberstein SD, Lipton RB, Dalessio DJ. Wolff´s headache and other head pain. 7º ed. Oxford: Oxford University Press. 2001;283-309.
- Watson CP, Evans RJ. Chronic cluster headache. A review of 60 patients. Headache. 1987;27:158-65.
- Roig-Arnall C. Cefalea en racimos: actuaciones no farmacológicas. En: Mateos V, Pareja JA, Pascual J. Tratado de cefaleas. Luzan. 2009;347-66.
- Assaf AT, Hillerup J, Rostgaard M, Puche M, Blessmann C, et al. Technical and surgical aspects of the sphenopalatine ganglion (SPG) microstimulator insertion procedure. Int. J. Oral Maxillofac. Surg. 2016; 45: 245–54 http://dx.doi.org/10.1016/j.ijom.2015.09.023.
- J.M. Asensio Samper. Técnicas intervencionistas para el tratamiento del dolor crónico. Rev Esp Anestesiol Reanim 2012;59:174-6.
- A. Tejedor, J. Pérez, L.A. Moreno. Opciones analgésicas intervencionistas para las cefaleas farmacorresistentes: reflexiones a partir del tratamiento de una cefalea en racimos. Rev Esp Anestesiol Reanim 2011;58:322-3.
- Devoghel JC. Cluster headache and spheno-palatine block. Acta Anaesthesiol Belg 1981;32:101–7.
- Kudrow L, Kudrow DB, Sandweiss JH. Rap-id and sustained relief of migraine attacks with intranasal lidocaine: preliminary find-ings. Headache 1995;35:79–82.
- Maizels M, Scott B, Cohen W, Chen W. Intranasal lidocaine for treatment of mi-graine: a randomized, double-blind, con-trolled trial. JAMA 1996;276:319–21.
- Narouze S, Kapural L, Casanova J, Mekhail N. Sphenopalatine ganglion radiofrequency ablation for the management of chronic cluster headache. Headache 2009;49:571–7.
- Tepper SJ, Rezai A, Narouze S, Steiner C, Mohajer P, Ansarinia M. Acute treatment of intractable migraine with sphenopalatine ganglion electrical stimulation. Headache 2009;49:983–9.
- Ansarinia M, Rezai A, Tepper SJ, Steiner CP, Stump J, Stanton-Hicks M, et al. Electrical stimulation of sphenopalatine ganglion for acute treatment of cluster headaches. Headache 2010;50:1164–74.
- Schoenen J, Jensen RH, Lanteri-Minet M, Lainez MJ, Gaul C, Goodman AM, et al. Stimulation of the sphenopalatine ganglion (SPG) for cluster headache treatment. Path-way CH-1: a randomized, sham-controlled study. Cephalalgia 2013;33:816–30.
- A. Montes Pérez, J. García Álvarez, L. Trillo Urrutia. Situación actual del dolor postoperatorio en el “Año Global Contra el Dolor Agudo”. Rev Esp Anestesiol Reanim 2011;58:269-72.
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Published
2020-09-10
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Ramos Jiménez, M. D., Santos Martín, L., Cordero Tous, N., & de la Linde Valverde, C. (2020). Sphenopalatine ganglion microstimulator surgical insertion. Anesthetic management and literature review. Revista Electrónica AnestesiaR, 11(3), 2. https://doi.org/10.30445/rear.v11i3.715
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