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Bernardo Alvarez Rivello
Department of Rhinology and Endoscopic Skull Base Surgery, Brazilian Army Central Hospital, Rio de Janeiro State University (UERJ), Rio de Janeiro, Brazil
Publications
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Review Article
Neurostimulation for Cluster Headaches of the Sphenopalatine Ganglion (SPG)-Literature Review
Author(s): Mariana Mafra Junqueira*, Pedro Miño Vianna, Andreia Fortini Guimaraes, Raphael Callado de Cerqueira Campos, Bernardo Alvarez Rivello, Carla Mara Sant’ana, Maria Eduarda Nobre, Bruno Lima Pessoa, Miguel Soares Tepedino and Miguel Soares Tepedino
The current literature of the Sphenopalatine Ganglion (SPG) neurostimulation for cluster headache or other trigeminal autonomic cephalalgia is reviewed in this narrative paper. The authors published their experience with surgical transnasal approach with SPG ganglion as a target. SPG is a target in interventional pain medicine for headaches and orofacial pain and several approaches have been described. Cluster headache is a primary headache disorder, and it is classified as a Trigeminal Autonomic Cephalalgia (TAC). It is strictly unilateral, characterized for short excruciating pain attacks with autonomic symptoms. It has a huge impact in patient quality of life and functionality. Patient treatment and relief are challenges for physicians. Poor quality of life and disability are part of life in chronic cluster headache. Small group of patients are non-responders t.. View more»