Abstract:
INTRODUCTION:The sphenopalatine ganglion (SPN) has been proven to be involved in various types of facial pain syndromes. Management of these cranio-facial pain syndromes can be challenging, and existing specific treatments are sometimes inefficient and may fail. The purpose of this study is to describe and evaluate alcohol SPN in the management of cranio-facial pain. METHODS:Forty-two patients suffering from refractory facial pain who underwent 58 consecutive SPN were included in this study between 2000 and 2013. Patients were divided into three groups: group "cluster headache" (CH), group "persistent idiopathic facial pain" (PFIP), and group "Other". Pain was assessed using Visual Analogue Scale scores (measured immediately before and after procedure and at regular intervals following the procedure). Alcohol SPN was considered to be effective when pain relief was equal to or greater than 50 % and lasting for at least 1 month. All procedures were realized ambulatory under CT guidance and consisted of an injection of 1 ml of absolute alcohol. RESULTS:Overall efficacy rate of alcohol SPN was 67.2 %, with mean pain relief duration of 10.3 months. Procedure was graded either not painful or tolerable by patients in 64.2 %. Analysis showed a higher efficacy rate in the groups CH (76.5 %) and PFIP (85.7 %) compared to the group Other (40 %). No difference was found between groups regarding the recurrence rate. CONCLUSION:Alcohol SPN under CT guidance appears as a safe and effective treatment of refractory facial pain, especially in cases of cluster headache and persistent idiopathic facial pain.
journal_name
Neuroradiologyjournal_title
Neuroradiologyauthors
Kastler A,Cadel G,Comte A,Gory G,Piccand V,Tavernier L,Kastler Bdoi
10.1007/s00234-014-1354-ysubject
Has Abstractpub_date
2014-07-01 00:00:00pages
589-96issue
7eissn
0028-3940issn
1432-1920journal_volume
56pub_type
杂志文章相关文献
NEURORADIOLOGY文献大全abstract::Two children with GM-2 gangliosidosis type 0 (Sandhoff's disease) followed up by MRI at 1.5 Tesla for 1.8 years are reported. One was presymptomatic at the first MRI examination. As her neurological status deteriorated, MRI showed low signal in bilaterally, on T2-weighted images the white matter with involvement of th...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/BF00588086
更新日期:1994-01-01 00:00:00
abstract::We reviewed the haemorrhagic complications of the endovascular treatment of intracranial aneurysms, in terms of frequency, pre-embolisation clinical status, clinical and radiological manifestations, management and prognosis. In 275 patients treated for 303 aneurysms over 7 years we had seven (one man and six women--2....
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/s00234-003-1028-7
更新日期:2003-08-01 00:00:00
abstract::We present cases of cervical cord compression in father and son with diaphyseal aclasia. Both patients were investigated with plain radiography, CT and MRI. We believe this to be the first report of spinal cord compression in first-degree relatives with diaphyseal aclasia. ...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/BF00593223
更新日期:1996-01-01 00:00:00
abstract:INTRODUCTION:To prospectively compare of the diagnostic value of digital subtraction angiography (DSA) and time-of-flight magnetic resonance angiography (TOF-MRA) in the follow-up of intracranial aneurysms after endovascular treatment. METHODS:Seventy-two consecutive patients were examined 3 months after the embolizat...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/s00234-012-1030-z
更新日期:2012-11-01 00:00:00
abstract:INTRODUCTION:Cerebral vasospasm (CVS) after subarachnoid hemorrhage (SAH) often leads to poor outcomes in SAH patients. Overexpression of endothelin-1 (ET-1) could contribute to the development of CVS. The purpose of this study was to investigate cerebral microcirculation by whole-brain perfusion CT scan and ET-1 expre...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/s00234-014-1435-y
更新日期:2015-01-01 00:00:00
abstract::Herniated nuclear material of the cervical disc often perforates the posterior longitudinal ligament. Of 22 patients who were operated on by an anterior approach, 10 were of this type (the subligamentous type of cervical disc protrusion), while in the remaining 12 patients and 15 discs the protruded disc caused no tea...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/BF00548195
更新日期:1986-01-01 00:00:00
abstract:INTRODUCTION:We retrospectively evaluated the ischemic complications related to the anterior choroidal artery (AChA) and clinical outcome after coiling of AChA aneurysms. METHODS:We included 37 patients (27 with subarachnoid hemorrhage, 10 without) harboring 38 AChA aneurysms (23 ruptured, 15 unruptured) who were trea...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/s00234-007-0331-0
更新日期:2008-03-01 00:00:00
abstract:INTRODUCTION:We present a previously unreported complication following the treatment of a patient with two small, wide-necked, posterior communicating artery aneurysms. METHODS:Endovascular embolization of one aneurysm was performed using a stent-assisted technique. Follow-up angiography 5 months later revealed that a...
journal_title:Neuroradiology
pub_type: 杂志文章,评审
doi:10.1007/s00234-005-0044-1
更新日期:2006-05-01 00:00:00
abstract::Vacuolar myelopathy (VM) and tract pallor are poorly understood spinal tract abnormalities in patients with the acquired immunodeficiency syndrome (AIDS). We studied the ability of magnetic resonance imaging (MRI) to detect these changes in spinal cord specimens postmortem and whether criteria could be formulated whic...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/BF00588630
更新日期:1995-02-01 00:00:00
abstract::Pure sensory stroke has not previously been reported with thalamic haemorrhage and had indeed been considered to exclude cerebral haemorrhage. We describe a case of thalamic haemorrhage causing a pure sensory stroke and propose that we should bear in mind the possibility of haemorrhage in such cases. ...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/BF00596336
更新日期:1992-01-01 00:00:00
abstract::The side effects associated with the use of Iotrol were determined in 100 patients and compared with metrizamide and iopamidol in two double-blind studies. The relevance of the distribution of the contrast medium in the CSF space to the occurrence of headache is discussed. The low persistence of iotrol in the brain pa...
journal_title:Neuroradiology
pub_type: 临床试验,杂志文章
doi:10.1007/BF00339568
更新日期:1985-01-01 00:00:00
abstract::A family with 12 children, 6 of whom had Sjögren-Larsson syndrome, was studied clinically. On CT, all six siblings with the disease had patchy regions of white matter hypodensity, most marked in the frontal lobes, which were confluent in the more severe cases. The ventricles were not enlarged and no other abnormality ...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/BF00350440
更新日期:1987-01-01 00:00:00
abstract::"Congenital" tumors that cause hydrocephalus early in life are large masses and can easily be detected by ultrasound. CT is better for differentiating among the diverse types of mass lesions and is performed after screening by ultrasound. In our experience, ultrasound has proved successful for visualizing all of the i...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/BF00344100
更新日期:1986-01-01 00:00:00
abstract::Two cases of central nervous system Behçet's disease, studied by gadolinium-enhanced MRI, are presented. In one patient, whose clinical picture was dominated by a brain syndrome, the gadolinium enhancement resolved with clinical improvement, although the hyperintense areas in the mesencephalon on T2-weighted images pe...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/BF00593971
更新日期:1993-01-01 00:00:00
abstract:INTRODUCTION:The need to improve surgical efficacy in patients affected by high-grade gliomas has led to development of advanced pre-surgical MRI-based techniques such as tractography. This study investigates pre-surgical planning of optic radiations (ORs) in patients affected by occipito-temporo-parietal high-grade gl...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/s00234-016-1732-8
更新日期:2016-11-01 00:00:00
abstract::Minimal hepatic encephalopathy (MHE) is frequently diagnosed in patients with liver cirrhosis who do not show overt clinical cirrhosis-associated neurological deficits. This condition manifests primarily with visuo-motor and attention deficits. We studied the association between visuo-motor deficits and magnetic reson...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/s00234-004-1298-8
更新日期:2005-01-01 00:00:00
abstract:INTRODUCTION:Perfusion magnetic resonance imaging (MRI) can be used in the pre-operative assessment of brain tumours. The aim of this prospective study was to identify the perfusion parameters from dynamic contrast-enhanced (DCE) and dynamic susceptibility contrast (DSC) perfusion imaging that could best discriminate b...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/s00234-014-1426-z
更新日期:2014-12-01 00:00:00
abstract::We report the case of a 25-year-old man with multiple bilateral hydatid cysts of the brain in whom we were able to assess the growth rate of the cysts on repeated examination. On average, the cysts increased in diameter by 1 cm per month. ...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/s002340050607
更新日期:1998-06-01 00:00:00
abstract::Brain vascular malformations are dynamic disorders. Although mostly considered to be of congenital origin, the improvement of clinical imaging and vasculogenesis knowledge has shown that they might also result from a biological dysfunction of the remodeling process after birth. Venous occlusive disease and ishemia may...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/s00234-003-0971-7
更新日期:2005-01-01 00:00:00
abstract::An imaging technique capable of detecting ischaemic cerebral injury at an early stage could improve diagnosis in acute or transient cerebral ischaemia. We compared the ability of superparamagnetically contrast-enhanced MRI and conventional T2-weighted MRI to detect ischaemic injury early after unilateral occlusion of ...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/BF00599188
更新日期:1994-01-01 00:00:00
abstract::Brain CT studies of 35 patients with anorexia nervosa confirmed the observations of other authors: cerebral dystrophic changes correlate with weight loss and the reversibility of these changes also correlates with the normalization of body weight. Other corroborated facts are: the most numerous and most pronounced enl...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/BF00339562
更新日期:1985-01-01 00:00:00
abstract::Two exemplary cases of upper carotid occlusion and successful local intraarterial fibrinolytic therapy are described. To achieve a positive result one has to perform a balloon occlusion of the affected internal carotid artery while applying the fibrinolytic agent. Possible time limits of instigating therapy are discus...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/BF00339777
更新日期:1984-01-01 00:00:00
abstract::Using an EMI 5005 scanner with high resolution option, 75% of syrinxes were shown as low density cavities. Most spinal cord tumours caused isodense swellings, but 41% contained low density zones and cystic elements were demonstrated in 76% of these at surgery or by puncture of the spinal cord; a few (11%) of the isode...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/BF00347553
更新日期:1982-01-01 00:00:00
abstract:INTRODUCTION:Diffusion-weighted imaging (DWI) studies focusing on apparent diffusion coefficient (ADC) abnormalities have provided conflicting results about the nature and fate of perihematomal edema. METHODS:We investigated 35 patients with supratentorial spontaneous intracerebral hemorrhage (SICH) by using DWI scann...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/s00234-012-1093-x
更新日期:2013-02-01 00:00:00
abstract::In older patients with severe aortic atherosclerosis or pronounced tortuosity of the brachiocephalic vessels, selective catheterisation may be impossible. In order to overcome this difficulty we introduced a new "turn-over" technique. This involves introduction of a long guidewire through the catheter, advancing it an...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/BF00588076
更新日期:1994-01-01 00:00:00
abstract::The neuroradiologic finding of a paraganglioma in the vertebral canal is described here for the first time. These tumors occur more frequently than was previously presumed. Similarities with paragangliomas in the craniocervical region are apparent on angiograms. We consider angiography to be indicated when, in associa...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/BF00344491
更新日期:1985-01-01 00:00:00
abstract::In the last 3 years 86 patients were referred for suspected primary intrasellar pathology. Two of them had coexisting pituitary adenoma and partial empty sella. This situation has been diagnosed pre-operatively thanks to CT Iopamidol cisternography. The pre-operative diagnosis of this common anatomic condition allows ...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/BF00341049
更新日期:1987-01-01 00:00:00
abstract::The technique of the PA axial projection of the arches of the upper cervical vertebrae into the occipital foramen and the normal findings, are described. The influence of maximum forced anteflexion at the craniocervical junction and rotation of the head on the relations of atlas and axis is demonstrated. It seems that...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/BF00342743
更新日期:1979-04-26 00:00:00
abstract:INTRODUCTION:Metaplastic ossification is a rare event in nasal polyps. The purpose of this study was to review the computed tomography (CT) and magnetic resonance (MR) imaging findings of nasal polyps with metaplastic ossification. METHODS:CT (n=5) and MR (n=3) images of five patients (four men and one woman; mean age...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/s00234-010-0758-6
更新日期:2010-12-01 00:00:00
abstract::The configuration of the articular cavities of the cervico-occipital region have been demonstrated by an experimental technic of positive contrast arthrography in postmortem specimens. ...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/BF00340020
更新日期:1977-05-28 00:00:00