Microvascular decompression of the pterygopalatine ganglion in patients with refractory cluster headache

Trigeminal autonomic cephalalgias (TAC) is a rare primary headache disorder with challenging and limited treatment options for those unfortunate patients with severe and refractory pain. This article will review the conventional pharmacologic treatments as well as the new neuromodulation techniques designed to offer alternative and less invasive treatments. These techniques have evolved from the treatment of migraine headache, a much more common headache syndrome, and expanded towards application in patients with TAC. Specifically, the article will discuss the targeting of the supratrochlear and supraorbital nerves, both terminal branches of the trigeminal nerve.

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Supraorbital and Supratrochlear Stimulation for Trigeminal Autonomic Cephalalgias

Vaisman

Lopez

Muraoka

2014

Curr Pain Headache Rep

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Primary Headache Disorders Part I- Migraine and the Trigeminal Autonomic Cephalalgias

Jay¹,

Barkin

2017

Disease-a-Month

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A New Minimally Invasive Technique for Cauterizing the Maxillary Artery and Its Application in the Treatment of Cluster Headache

Shevel

2013

Journal of Oral and Maxillofacial Surgery

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Microvascular decompression of the pterygopalatine ganglion in patients with refractory cluster headache

Abstract: These preliminary data suggest that microvascular decompression of the pterygopalatine ganglion does not provide pain reduction or improvement of quality of life in patients with refractory cluster headache.

Cited by 3 publications

References 9 publications

Supraorbital and Supratrochlear Stimulation for Trigeminal Autonomic Cephalalgias

Supraorbital and Supratrochlear Stimulation for Trigeminal Autonomic Cephalalgias

Primary Headache Disorders Part I- Migraine and the Trigeminal Autonomic Cephalalgias

A New Minimally Invasive Technique for Cauterizing the Maxillary Artery and Its Application in the Treatment of Cluster Headache

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