Transnasal Sphenopalatine Ganglion Block for the Preventive Treatment of Chronic Daily Headache in Adolescents

Children

卷:8

Marta Somaini¹  Pablo Ingelmo²  Marie Vigouroux³  Victor Hugo González Cárdenas⁴  Kacper Niburski⁵  Megan Kouri⁵ 

[1] Department of Anaesthesia, Grande Ospedale Metropolitano Niguarda, 201262 Milano, Italy;

[2] Edwards Family Interdisciplinary Center for Complex Pain, Montreal Children’s Hospital, McGill University Health Center, Montreal, QC H4A 3J1, Canada;

[3] Faculty of Dentistry, McGill University, Montreal, QC H3A 1G1, Canada;

[4] Faculty of Medicine, Fundación Universitaria de Ciencias de la Salud (FUCS), 111221 Bogotá, Colombia;

[5] Faculty of Medicine, McGill University, Montreal, QC H3G 2M1, Canada;

关键词: chronic headache;    migraine;    sphenopalatine ganglion;    Tx360^®;    adolescents;    chronic pain;   

DOI  :  10.3390/children8070606

来源: DOAJ

【 摘 要 】

Chronic headaches are a major source of morbidity in the pediatric population, affecting physical function, school attendance, social capacity, mood, and sleep. In adults, repetitive sphenopalatine ganglion (SPG) blockade has been studied as a preventive treatment for chronic migraines. This case series aims to evaluate the SPG block for the preventive treatment of chronic daily headache (CDH) in adolescents. We prospectively evaluated 17 adolescents (14 females, 14 ± 1 year) with CDH not responding to cognitive behavioral therapy (CBT), physiotherapy, and standard medications. Each patient received 10 SPG blocks (two blocks/week) using the Tx360^® device. At the end of treatment, 10 patients (59%) reported a Patient’s Global Impression of Change (PGIC) score ≥ 67%, and 3 months after the end of treatment, nine patients (53%) sustained a PGIC ≥ 67%. There was also a statistically significant reduction in the depression subscale of the Revised Children’s Anxiety and Depression Scale (RCADS) at the end of treatment and 3 months post-treatment compared with baseline. The procedure was well tolerated with no adverse effects. In our study, the use of repeat SPG blockade was associated with sustained benefits on the PGIC and the depression subscale of the RCADS when used as preventive headache treatment in adolescents with refractory CDH.

【 授权许可】

Unknown