Bilateral stellate ganglion block for migraine: A case report.
Medicine (Baltimore)
; 99(18): e20023, 2020 May.
Article
en En
| MEDLINE
| ID: mdl-32358380
ABSTRACT
RATIONALE Migraine is a recurrent, disabling neurovascular headache disorder. The patient's quality of life can be severely impaired by migraine attacks. Stellate ganglion block (SGB) can be used to relieve pain in the head, neck, and upper extremities. In the present cases, we performed SGB in 2 patients with migraine that responds poorly to drugs. PATIENT CONCERNS Patients 1 and 2 suffered from chronic, bilateral pulsating headache, accompanied by nausea and vomiting. Patient 1 presented with headache of 8 on the visual analog scale (VAS), and 37 on the migraine disability assessment (MIDAS). Patient 2 reported headache of 7 on the VAS, and 32 on the MIDAS. DIAGNOSIS The patients were diagnosed with migraine without aura based on the International Classification of Headache Disorders version 3. INTERVENTIONS:
Patient 1 was treated with bilateral SGB every week for a month and then every month for 3 months. Patient 2 received bilateral SGB every 2 weeks for a month and then every month for 3 months.OUTCOMES:
Four months after SGB, patient 1 reported pain intensity of 4 on VAS and 6 on MIDAS and patient 2 rated pain intensity of 3 on VAS, and 6 on MIDAS, respectively. LESSONS The SGB can be an effective option to improve headache-related disability and relieve pain intensity in the patients with refractory migraine.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Bloqueo Nervioso Autónomo
/
Ganglio Estrellado
/
Trastornos Migrañosos
Tipo de estudio:
Etiology_studies
Aspecto:
Patient_preference
Límite:
Adult
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Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
Medicine (Baltimore)
Año:
2020
Tipo del documento:
Article