The effectiveness of sphenopalatine ganglion blockade in chronic migraine resistant to medical treatment

Authors

  • Nermin Tepe Department of Neurology, Faculty of Medicine, Balıkesir University, Balıkesir
  • Oktay Faysal Tertemiz Department of Anesthesiology and Algology, Health Sciences University Tepecik Training And Research Hospital, İzmir, Turkey

DOI:

https://doi.org/10.54029/2021jxn

Keywords:

migraine, sphenopalatine ganglion blockage, numerical rating scale

Abstract

Objective: To assess the effectiveness of sphenopalatine ganglion blockade (SPGB) as an alternative treatment for patients with chronic migraine resistant to medical treatment.

Methods: In total, 23 patients with chronic migraine resistant to medical treatment underwent 4 sessions of bilateral transnasal SPGB bi-weekly, and the monthly number of headache days, duration, and numerical rating scale (NRS) response results were recorded.

Results: Compared with before SPGB, the frequency of migraine attacks per month (23.66 ± 9.8 vs. 10.5 ± 11.9 days), duration of headaches (31.3 ± 16.8 vs. 18.4 ± 9.8 h), and NRS score (9 ± 0.99 vs. 5.1 ± 2.1) all improved significantly (p < 0.05) eight weeks after intervention.

Conclusion: Transnasal SPGB is an alternative to conventional therapy because it benefits patients with chronic migraine resistant to medical treatment, is easy to administer, and has few side effects.

Published

2022-01-01

Issue

Vol. 26 No. 4 (2021)

Section

Original Article