Treating Therapy-Resistant Headache After Aneurysmal Subarachnoid Hemorrhage with Acupuncture
Subarachnoid haemorrhage (SAH) is usually associated with severe headache, whereas the options of pharmacological analgesia are restricted. Acupuncture is a promising method in treatment of headaches associated with meningeal sensitivity or irritation, such as migraine or post-dural puncture headache.
We report on 3 patients, who suffered severe headache due to aneurysmal SAH, and received acupuncture when pharmacological measures were exhausted. After acupuncture treatment all patients reported at least 50% pain reduction and could stop or reduce analgesics without side effects.
Acupuncture may be an effective pain treatment method in patients suffering from headache due to SAH. Randomized trials using acupuncture as an add-on to standard analgesic therapy would help evaluate the role of acupuncture for this purpose.
KeywordsSubarachnoid hemorrhage Headache Acupuncture
The authors thank Dr. Mike Cummings for preparation of figures and language correction of the manuscript and Dr. Cornelia Koch for her clinical advice.
J.D. was involved in the treatment of patients using acupuncture, data collection and interpretation, and writing the MS; T.E. contributed to management of patients at ICU, data collection, and writing the MS; and T.U. was involved in the idea of the investigation, treatment of patients, data interpretation, and writing the MS.
Compliance with Ethical Standards
Source of support
There was no support for this work.
Conflict of interest
The authors declare that they have no competing interests.
Informed consent was received from each patient, and ethics commission has approved this retrospective case series investigation.
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