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Successful Management of Refractory Headache and Facial Pain due to Cavernous Sinus Meningioma with Sphenopalatine Ganglion Radiofrequency
Joint Authors
Source
Case Reports in Neurological Medicine
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-09-29
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Headaches and facial pain can be extremely difficult to manage for the patient and the clinician.
In the medical literature, it has been suggested that the autonomic reflex plays an important role in the pathophysiology of facial neuralgia.
The sphenopalatine ganglion is the largest parasympathetic ganglion outside the cranium.
It is an easy accessible target for pain management.
The application of radiofrequency nerve ablation was described in the medical literature.
In this case report, we describe a 54-year-old female.
She was diagnosed with a cavernous sinus meningioma.
She underwent surgical resection and gamma knife radiosurgery.
She was suffering from an intractable hemifacial pain for many years.
Her pain started shortly after surgery and continued throughout many years.
Sphenopalatine ganglion block in multiple occasions was able to provide temporary relief.
The patient’s intractable hemicranial headaches and hemifacial pain responded to the sphenopalatine ganglion radiofrequency nerve ablation.
The pain response remained unchanged for 12 months after procedure.
This case report increased our current knowledge about the sphenopalatine ganglion role in the headache and facial intractable pain management.
The failure of available antalgic medications to adequately control pain in similar patients underscores the need to develop an algorithm for therapies.
American Psychological Association (APA)
Elahi, Foad& Ho, Kwo Wei David. 2014. Successful Management of Refractory Headache and Facial Pain due to Cavernous Sinus Meningioma with Sphenopalatine Ganglion Radiofrequency. Case Reports in Neurological Medicine،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1034833
Modern Language Association (MLA)
Elahi, Foad& Ho, Kwo Wei David. Successful Management of Refractory Headache and Facial Pain due to Cavernous Sinus Meningioma with Sphenopalatine Ganglion Radiofrequency. Case Reports in Neurological Medicine No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-1034833
American Medical Association (AMA)
Elahi, Foad& Ho, Kwo Wei David. Successful Management of Refractory Headache and Facial Pain due to Cavernous Sinus Meningioma with Sphenopalatine Ganglion Radiofrequency. Case Reports in Neurological Medicine. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1034833
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1034833