Treating the SphenoPalatine Ganglion in Refractory Chronic Cluster Headache. Are Repetitive Self-Administered Blocks Superior to Surgery?

Sphenopalatine Ganglion Blocks have been shown to be a primary treatment of choice for Chronic Cluster Headache (CCH). These blocks can be given by intra-oral or extra-oral injection or by nasal catheter.  The Sphenocath is a commercial device used to deliver the blocks by a  trans-nasal  approach.  The Allevio and the TX360 are similar trans-nasal catheters.  These devices are used …

Persistent Poststroke Headache: Self Administered Sphenopalatine Ganglion (SPG) May Be Treatment of Choice

Neurology Advisor (in “Headache and Migraine Advisor” section) has recently published an update on the topic of persistent poststroke headache.  Overall, there is  an incidence of poststroke headache ranging from 9.3% to 38%.   Headache patterns have revealed  long-term, persistent headache(s)  as a distinct entity that warrants  entry as a new category in the International Classification of Headache Disorders (ICHD)-3. This …

Topical Sphenopalatine Ganglion Block in Headache Management Headache; November 2018 Article

The Spheenopalatine Ganglion (SPG) Block has a 100+ year history of treating many types of headaches and migraines and is considered a treatment of choice for cluster headaches.  It was originally described by Greenfield Schluder who went on to become chair of the Dept of Otolaryngology at Washington University Medical School in St Louis.  Dr Schluder was the author of  …

Post DuralPuncture Treatment May Prevent or Treat PostPartum Depression.

Sphenopalatine Ganglion Blocks are becoming a treatment of choice for treating Postdural puncture headaches. This treatment may also prevent PostPartum Depression.  sphenopalatine Ganglion NBlocks are also used to treat Anxiety and depression. There are currently a number of studies investigation postdural puncture headaches but they should include a follow-up to investigate if they also decrease number of patients with post …

Treatment of Choice for Pediatric Headaches and Migraines: Self -Administered (Parent Administered) Sphenopalatine Ganglion (SPG) Blocks

An article in Neurology advisor (see link below)  discusses the use of SPG Blocks to treat pediatric headaches and migraines.  The study included 310 procedures on 200 children ranging from 7 to 18 years of age.  In 10 minutes after the block a significant number of children reported a 2 point drop in pain levels. The study looked at treatment …

Trigeminal Neuralgia / Trigeminal Neuropathy: Sphenopalatine (SPG) Ganglion Blocks May Be Answer.

Trigeminal Neuropathy / Neuralgia is an extremely painful and distressing disorder that is often extremely resistant to treatment.  Many patient find that a Sphenopalatine Ganglion Block can turn off this nerve pain.  It is not universally effective. Sphenopalatine (SPG) blocks can done by transnasal catheter (Sphenocath, Allevio and TX360), It can be injected intra-orally and from facial approach often  guided …

SPG Stimulation cuts medication use by more than half in Cluster Headache. Self-Administered Sphenopalatine Gannglion Blocks are even more effective.

A new article published in July 2018 Cephalgia (Pubmed abstract below) showed that Sphenopalatine Ganglion (SPG) Stimulation reduces prescription costs in Cluster Headaches by more than half. This is extremely significant because these were treatment resistant patients! Another new article in Dec 2018 Neurosurgery recommends doing vidian Neurectomy while spearing the Sphenopalatine Ganglion.  While the results were relatively positive with …

New 2019 Update on Status Migrainosus: Sphenopalatine Ganglion Blocks Give Hope

This post was originally published in July 2018.  A new update has been added about a new article in January 2019.  The pubmed abstract is at the bottom of this post.  The article looks at Suprazygomatic Sphenopalatine Ganglion Blocks (SSPG) to treat Status Miigrainosus (SM) and self-reported pain.The study showed significant improvement  in severity of  pain at 30 minutes. Chronic …

Can Sphenopalatine Ganglion Block Improve Outcomes in Endoscopic Sinus Surgery?

This recent paper focuses on the use of Sphenopalatine Ganglion Block to improve surgical visibility during endoscopic surgery.  It discusses the low risk of utilizing these 00 year old blocks first describe by Greenfield Sluder in 1908.  Dr Sluder later wrote the medical textbook Nasal Neurology.  A recent article has shown that SPG Blocks (SPGB) reduce incidence of nausea and …

Sphenopalatine Ganglion Block Provides Excellent Relief of Mucosal Headache / Facial Pain /Contact Headache

The Sphenopalatine Ganglion Block has been used to treat pain since 1908 when Greenfield Sluder first described it to treat Sluders Neuralgia a severe  pain condition that is now thought to be cluster headache, another Trigeminal Autonomic Cephalgia or a TMJ disorder.  Dr Sluder later went on to become the chair of the Department of Otolaryngology at Washington University Medical School …