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Radiofrequenzläsion des Ganglion sphenopalatinum

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Neurodestruktive Verfahren in der Schmerztherapie

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Zusammenfassung

Das Ganglion sphenopalatinum (GSP) ist ein autonomes Ganglion, das neben autonomen efferenten auch afferente Nervenfasern umfasst. Das GSP ist ein Teil des trigeminovaskulären Systems und ist wahrscheinlich bei verschiedenen Formen vaskulärer Kopfschmerzen und atypischer Gesichtsschmerzen betei­ligt [6]. Das GSP liegt tief in der Fossa pterygopalatina. Dieser pyramidenför­mige Raum wird an der Hinterseite durch den Processus pterygoideus und die Ala major des Os sphenoidale begrenzt, an der medialen Seite durch die La­mina perpendicularis des Os palatinum und an der Vorderseite durch die Ma­xilla. Lateral steht die Fossa mit der Fossa infratemporalis durch die Fissura pterygomaxillaris in Verbindung. Die Fossa pterygopalatina ist im übrigen in Kontakt mit der Nasenhöhle durch das Foramen sphenopalatinum (medial), mit der Orbita durch die Fissura orbitalis inferior (anterior), mit dem mittle­ren Schädelschacht durch das Foramen rotundum (posterosuperior) und mit der Mundhöhle durch den Canalis palatinus major (inferior). Zum Schluss mündet sie an der Hinterseite des Canalis pterygoideus und verläuft inframe­dial als Canalis palatinovaginalis zum Nasopharynx (Abb. 1; [27]).

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Authors
  1. A. C. M. Vervest
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  2. R. J. Stoiker
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  3. O. J. J. M. Rohof
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  4. E. T. Kamphuis
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  5. R. L. A. W. Bleys
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  6. G. J. Groen
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Editors and Affiliations

  1. Klinik für Anästhesiologie, Intensiv- und Schmerztherapie, Evangelisches Johannes-Krankenhaus, Schildescher Straße 99, 33611, Bielefeld, Germany

    Ulrich B. Hankemeier

  2. Zentrum Anaesthesiologie, Rettungs- und Intensivmedizin Schwerpunkt Algesiologie, Universität Göttingen, Robert-Koch-Straße 40, 37075, Göttingen, Germany

    Jan Hildebrandt

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© 2002 Springer-Verlag Berlin Heidelberg

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Vervest, A.C.M., Stoiker, R.J., Rohof, O.J.J.M., Kamphuis, E.T., Bleys, R.L.A.W., Groen, G.J. (2002). Radiofrequenzläsion des Ganglion sphenopalatinum. In: Hankemeier, U.B., Hildebrandt, J. (eds) Neurodestruktive Verfahren in der Schmerztherapie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59376-5_10

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  • DOI: https://doi.org/10.1007/978-3-642-59376-5_10

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-41922-8

  • Online ISBN: 978-3-642-59376-5

  • eBook Packages: Springer Book Archive

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