Skip to main content

Sphenopalatine Ganglion Block and Radiofrequency Ablation

  • Chapter
  • First Online:
Book cover Interventional Management of Head and Face Pain

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 54.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 69.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Goadsby P. Pathophysiology of cluster headache: a trigeminal autonomic cephalgia. Lancet Neurol. 2002;1:251–7.

    Article  PubMed  Google Scholar 

  2. Salar G, Ori C, Iob I, Fiore D. Percutaneous thermocoagulation for sphenopalatine ganglion neuralgia. Acta Neurochir (Wien). 1987;84:24–8.

    Article  CAS  Google Scholar 

  3. 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.

    Article  CAS  PubMed  Google Scholar 

  4. Ruskin SL. Techniques of sphenopalatine therapy. Eye Ear Nose Throat Mon. 1951;30:28–31.

    CAS  PubMed  Google Scholar 

  5. Sluder G. The role of the sphenopalatine ganglion in nasal headache. N Y State J Med. 1908;27:8–13.

    Google Scholar 

  6. Prasanna A, Murthy PS. Sphenopalatine ganglion block under vision using rigid nasal sinuscope. Reg Anesth. 1993;18:139–40.

    CAS  PubMed  Google Scholar 

  7. Vallejo R, Benyamin R, Yousuf N, Kramer J. Computed tomography-enhanced sphenopalatine ganglion blockade. Pain Pract. 2007;7(1):44–6.

    Article  PubMed  Google Scholar 

  8. 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.

    Google Scholar 

  9. Narouze S, Kapural L, Casanova J, Mekhail N. Sphenopalatine ganglion radiofrequency ablation for the management of chronic cluster headache. Headache. 2009;49:571–7.

    Article  PubMed  Google Scholar 

  10. Narouze S. Complications of head and neck procedures. Tech Reg Anesth Pain Manag. 2007;11:171–7.

    Article  Google Scholar 

  11. 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.

    Article  PubMed  Google Scholar 

  12. Konen A. Unexpected effects due to radiofrequency thermocoagulation of the sphenopalatine ganglion: two case reports. Pain Dig. 2000;10:30–3.

    Google Scholar 

  13. Narouze SN. Role of sphenopalatine ganglion neuroablation in the management of cluster headache. Curr Pain Headache Rep. 2010;14:160–3.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Samer N. Narouze MD, PhD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Science+Business Media New York

About this chapter

Cite this chapter

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

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-8951-1_7

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-8950-4

  • Online ISBN: 978-1-4614-8951-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics