Abstract
The sphenopalatine ganglion (SPG) is a large extracranial neural structure that is located in the pterygopalatine fossa (PPF). It has rich autonomic sympathetic and parasympathetic components, which explains the autonomic features associated with cluster headache. Cluster headache involves activation of the parasympathetic outflow from the superior salivary nucleus of the facial nerve, predominantly through the SPG.
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References
Goadsby P. Pathophysiology of cluster headache: a trigeminal autonomic cephalgia. Lancet Neurol. 2002;1:251–7.
Salar G, Ori C, Iob I, Fiore D. Percutaneous thermocoagulation for sphenopalatine ganglion neuralgia. Acta Neurochir (Wien). 1987;84:24–8.
Sanders M, Zuurmond W. Efficacy of sphenopalatine ganglion blockade in 66 patients suffering from cluster headaches: a 12- to17-month follow-up evaluation. J Neurosurg. 1997;87:876–80.
Ruskin SL. Techniques of sphenopalatine therapy. Eye Ear Nose Throat Mon. 1951;30:28–31.
Sluder G. The role of the sphenopalatine ganglion in nasal headache. N Y State J Med. 1908;27:8–13.
Prasanna A, Murthy PS. Sphenopalatine ganglion block under vision using rigid nasal sinuscope. Reg Anesth. 1993;18:139–40.
Vallejo R, Benyamin R, Yousuf N, Kramer J. Computed tomography-enhanced sphenopalatine ganglion blockade. Pain Pract. 2007;7(1):44–6.
Narouze S. Head and neck blocks. In: Huntoon M, Benzon H, Narouze S, editors. Spinal injections and peripheral nerve blocks. 1st ed. In: Deer T (series editor) Interventional and neuromodulatory techniques for pain management. Saunders: Elsevier; 2011.
Narouze S, Kapural L, Casanova J, Mekhail N. Sphenopalatine ganglion radiofrequency ablation for the management of chronic cluster headache. Headache. 2009;49:571–7.
Narouze S. Complications of head and neck procedures. Tech Reg Anesth Pain Manag. 2007;11:171–7.
Bayer E, Racz GB, Miles D, Heavner J. Sphenopalatine ganglion pulsed radiofrequency treatment in 30 patients suffering from chronic face and head pain. Pain Pract. 2005;5:223–7.
Konen A. Unexpected effects due to radiofrequency thermocoagulation of the sphenopalatine ganglion: two case reports. Pain Dig. 2000;10:30–3.
Narouze SN. Role of sphenopalatine ganglion neuroablation in the management of cluster headache. Curr Pain Headache Rep. 2010;14:160–3.
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Narouze, S.N. (2014). Sphenopalatine Ganglion Block and Radiofrequency Ablation. In: N. Narouze, S. (eds) Interventional Management of Head and Face Pain. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8951-1_7
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DOI: https://doi.org/10.1007/978-1-4614-8951-1_7
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