COMBINATION OF TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS) AND OCCIPITAL NERVE BLOCK IN REFRACTORY CLUSTER HEADACHE
Cluster headache (CH) can be extremely resistant to medical treatment. There are no prognostic signs that can previously determent persistence and resistance to medical treatment. We report on medical treatment-resistant cluster headache that relieved with transcutaneous electric nerve stimulation treatment followed with occipital nerve block (ONB) method. A 39-year-old male patient that was diagnosed with a cluster headache that was resistant to a combination of the highest tolerated drug dose of verapamil, valproic acid, and oral methylprednisolone. Due to its resistance to medical treatment for one month, in addition, treatment with transcutaneous electric nerve stimulation and following (ONB) showed sudden and permanent control of headache.
Solomon S, Guglielmo KM. Treatment of headache by transcutaneous electrical stimulation headache. 1985; 25(1):12-5.
Ashkenazi A, Blumenfeld A, Napchan U, Narouze S, Grosberg B, Nett R et al. Peripheral nerve blocks and trigger point injections in headache management – a systematic review and suggestions for future research. Headache. 2010; 50(6): 943–52.
Di Fiore P, Bussone G, Galli A, Didier H, Peccarisi C, D’Amico D et al. Transcutaneous supraorbital neurostimulation for the prevention of chronic migraine: a prospective, open-label preliminary trial. Neurol Sci. 2017; 38 (Suppl 1) :S201 -6.
Starling A. Noninvasive neuromodulation in migraine and cluster headache. Curr Opin Neurol.2018;31(3):268-73.
Lambru G, Abu Bakar N, Stahlhut L, McCulloch S, Miller S, Shanahan P et al. Greater occipital nerve blocks in chronic cluster headache: a prospective open-label study. Eur J Neurol. 2014;21(2):338–43.
- There are currently no refbacks.
Copyright (c) 2019 Hakan Silek
This work is licensed under a Creative Commons Attribution 4.0 International License.