Abstract
There is no more severe pain than that sustained by a cluster headache sufferer. Surgical treatment of cluster headache should only be considered after a patient has exhausted all medical options or when a patient's medical history precludes the use of typical cluster abortive and preventive medications. Once a cluster patient is deemed a medical failure only those who have strictly side-fixed headaches should be considered for surgery. Other criteria for cluster surgery include pain localizing to the ophthalmic division of the trigeminal nerve, a psychologically stable individual, and absence of addictive personality traits. To understand the rationale behind the surgical treatment strategies for cluster, one must have a general understanding of the anatomy of cluster pathogenesis. The most frequently used surgical techniques for cluster are directed toward the sensory trigeminal nerve and the cranial parasympathetic system.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 57-64 |
| Number of pages | 8 |
| Journal | Current Pain and Headache Reports |
| Volume | 6 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jan 1 2002 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Clinical Neurology
- Anesthesiology and Pain Medicine
Cite this
Interventional treatment for cluster headache : a review of the options. / Rozen, Todd.
In: Current Pain and Headache Reports, Vol. 6, No. 1, 01.01.2002, p. 57-64.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - Interventional treatment for cluster headache
T2 - a review of the options.
AU - Rozen, Todd
PY - 2002/1/1
Y1 - 2002/1/1
N2 - There is no more severe pain than that sustained by a cluster headache sufferer. Surgical treatment of cluster headache should only be considered after a patient has exhausted all medical options or when a patient's medical history precludes the use of typical cluster abortive and preventive medications. Once a cluster patient is deemed a medical failure only those who have strictly side-fixed headaches should be considered for surgery. Other criteria for cluster surgery include pain localizing to the ophthalmic division of the trigeminal nerve, a psychologically stable individual, and absence of addictive personality traits. To understand the rationale behind the surgical treatment strategies for cluster, one must have a general understanding of the anatomy of cluster pathogenesis. The most frequently used surgical techniques for cluster are directed toward the sensory trigeminal nerve and the cranial parasympathetic system.
AB - There is no more severe pain than that sustained by a cluster headache sufferer. Surgical treatment of cluster headache should only be considered after a patient has exhausted all medical options or when a patient's medical history precludes the use of typical cluster abortive and preventive medications. Once a cluster patient is deemed a medical failure only those who have strictly side-fixed headaches should be considered for surgery. Other criteria for cluster surgery include pain localizing to the ophthalmic division of the trigeminal nerve, a psychologically stable individual, and absence of addictive personality traits. To understand the rationale behind the surgical treatment strategies for cluster, one must have a general understanding of the anatomy of cluster pathogenesis. The most frequently used surgical techniques for cluster are directed toward the sensory trigeminal nerve and the cranial parasympathetic system.
UR - http://www.scopus.com/inward/record.url?scp=0036466804&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0036466804&partnerID=8YFLogxK
U2 - 10.1007/s11916-002-0025-6
DO - 10.1007/s11916-002-0025-6
M3 - Review article
VL - 6
SP - 57
EP - 64
JO - Current Pain and Headache Reports
JF - Current Pain and Headache Reports
SN - 1531-3433
IS - 1
ER -