Gelener Pınar
University of Kyrenia, Faculty of Medicine, Neurology Clinic; Near East University Faculty of Medicine, Neurology Department, North Cyprus.
Noro Psikiyatr Ars. 2018 Jul 5;56(3):224-225. doi: 10.5152/npa.2017.19464. eCollection 2019 Sep.
Cluster headache is the most severe and painful form of primary headache occurring in clusters. Acute treatment may be troublesome in patients resistant to available medications. We present a case of 32-year-old male patient having multiple cluster attacks since four weeks. The neurologic examination showed ipsilateral great occipital nerve (GON) sensitivity. GON blockade was performed using triamcinolone resulting in complete cessation of the attack after the injection. In the presented case GON blockade was used as an effective alternative and safe treatment for cluster headache.
丛集性头痛是原发性头痛中最严重且疼痛的一种类型,呈丛集性发作。对于对现有药物耐药的患者,急性治疗可能会很棘手。我们报告一例32岁男性患者,四周来多次发作丛集性头痛。神经系统检查显示同侧枕大神经(GON)敏感。使用曲安奈德进行GON阻滞,注射后发作完全停止。在本病例中,GON阻滞被用作丛集性头痛的一种有效且安全的替代治疗方法。