Jin Xing, Li Chenxi, Zhang Qingyu, Sun Ye, Qin Xiangzheng, Dong Zhiting, Jin Wenzhe, Li Kai
Department of Pain, Yanbian University Hospital, 133000 Yanji, Jilin, China.
Department of Oral and Maxillofacial Oncology & Surgery, School/Hospital of Stomatology, The First Affiliated Hospital of Xinjiang Medical University, 830054 Urumqi, Xinjiang Uygur Autonomous Region, China.
J Oral Facial Pain Headache. 2025 Mar;39(1):112-118. doi: 10.22514/jofph.2025.010. Epub 2025 Mar 12.
This study evaluated the effectiveness and safety of ultrasound-guided pulsed radiofrequency (PRF) at the C2 dorsal root ganglion (DRG), specifically at the C1-2 level, for patients with cervicogenic headaches.
The study involved 29 patients with unilateral symptoms from January to July 2023. Headache intensity was measured using the numerical rating scale (NRS), with scores recorded before and after the procedure at specified intervals extending up to 24 weeks. Additionally, the neck disability index (NDI) scores were assessed at baseline, 4, 12 and 24 weeks.
The findings demonstrated significantly reduced headache NRS scores at all post-treatment checkpoints, with notable pain relief rates of 13.79% and 72.41% at 4 weeks, and 17.24% and 68.97% at 12 and 24 weeks, respectively. NDI scores also showed significant reductions at all evaluated post-treatment time points. Importantly, no significant adverse events were observed in any of the individuals.
Our ultrasound-guided approach could be a safe and effective alternative for managing cervicogenic headaches.
本研究评估了超声引导下对颈源性头痛患者在C2背根神经节（DRG），特别是在C1-2水平进行脉冲射频（PRF）治疗的有效性和安全性。
该研究纳入了2023年1月至7月的29例单侧症状患者。使用数字评分量表（NRS）测量头痛强度，在治疗前及治疗后直至24周的特定时间间隔记录分数。此外，在基线、4周、12周和24周评估颈部功能障碍指数（NDI）评分。
研究结果表明，在所有治疗后检查点，头痛NRS评分均显著降低，4周时疼痛缓解率分别为13.79%和72.41%，12周和24周时分别为17.24%和68.97%。NDI评分在所有评估的治疗后时间点也显著降低。重要的是，未在任何个体中观察到显著不良事件。
我们的超声引导方法可能是治疗颈源性头痛的一种安全有效的替代方法。
