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EPİZODİK TİPTE KÜME TİPİ BAŞ AĞRISININ NÖRALTERAPİ İLE TEDAVİSİ: OLGU SUNUMU

Year 2023, Volume: 2 Issue: 3, 15 - 17, 25.12.2023

Abstract

Küme baş ağrısının hipotalamus, trigeminovasküler sistem ve otonom sinir sisteminde senkronize anormal bir aktivite sonucu ortaya çıktığı düşünülen ve genellikle aşırı derecede ağrılı seyreden tek taraflı, özellikle orbital bölgede yoğunlaşan baş ağrısı atakları ile karakterize bir trigeminal otonomik sefaljidir. Akut atak tedavisinde ve proflaktik tedavide oksijen tedavisi, çeşitli medikal tedavi yaklaşımlar ve girişimsel tedavi yöntemleri kullanılmakla birlikte bazı vakalar tüm tedavilere direnç gösterebilmektedir. Bu makalede, Hemanjioblastom operasyonu sonrasında gelişen uyuşukluk ve ardından ortaya çıkan şiddetli baş ağrıları yaşayan 36 yaşındaki erkek hastanın nöralterapi ile etkin bir şekilde tedavi edilmesine yer verilmiştir. Nöralterapi tedavisi, hastanın semptomlarını tamamen ortadan kaldırmış ve iki yıllık takip sürecinde atakların tekrarlamadığı gözlenmiştir.

References

  • May A, Schwedt TJ, Magis D, Pozo-Rosich P, Evers S, Wang SJ. Cluster headache. Nat Rev Dis Primers. 2018 Mar 1;4:18006.doi: 10.1038/nrdp.2018.6.
  • Hoffmann J, May A. Diagnosis, pathophysiology, and management of cluster headache. Lancet Neurol. 2018 Jan;17(1):75-83.doi: 10.1016/S1474-4422(17)30405- 2. Epub 2017 Nov 23. PMID: 29174963.
  • Matharu MS, Goadsby PJ. Trigeminal autonomic cephalgias. J Neurol Neurosurg Psychiatry. 2002 Jun;72 Suppl 2:ii19-ii26.doi: 10.1136/jnnp.72.suppl_2.ii19.
  • Wei DY, Khalil M, Goadsby PJ. Managing cluster headache. Pract Neurol. 2019 Dec;19(6):521-528. doi: 10.1136/practneurol-2018-002124.
  • Diener HC, May A. Drug Treatment of Cluster Headache. Drugs. 2022 Jan;82(1):33- 42. doi: 10.1007/s40265-021-01658-z.
  • Suri H, Ailani J. Cluster Headache: A Review and Update in Treatment. Curr Neurol Neurosci Rep. 2021 May 5;21(7):31. doi:10.1007/s11910-021-01114-1.
  • Robbins MS, Starling AJ, Pringsheim TM, Becker WJ, Schwedt TJ. Treatment of Cluster Headache: The American HeadacheSociety Evidence-Based Guidelines. Headache. 2016 Jul;56(7):1093-106. doi: 10.1111/head.12866. PMID: 27432623.
  • Weinschenk S. Handbuch Neuraltherapie, Diagnostik und Therapie mit Lokalanästhetika; 1. Auflage 2010, Elsevier GmbH,München
  • Fischer L. Pathophysiologie des Schmerzes und Neuraltherapie [Pathophysiology of pain and neural therapy]. Praxis (Bern1994). 2003 Nov 26;92(48):2051-9. German. doi: 10.1024/0369-8394.92.48.2051. PMID: 14694543.
  • Egli S, Pfister M, Ludin SM, Puente de la Vega K, Busato A, Fischer L. Long-term results of therapeutic local anesthesia(neural therapy) in 280 referred refractory chronic pain patients. BMC Complement Altern Med. 2015 Jun 27;15:200. doi:10.1186/s12906-015-0735-z. PMID: 26115657; PMCID: PMC4483221.
  • Nazlıkul H, Ural FG, Öztürk GT, Öztürk ADT. Evaluation of neural therapy effect in patients with piriformis syndrome. J BackMusculoskelet Rehabil. 2018;31(6):1105- 1110. doi: 10.3233/BMR-170980. PMID: 30010101.
  • Bölük Şenlikci H, Odabaşı ÖS, Ural Nazlıkul FG, Nazlıkul H. Effects of local anaesthetics (neural therapy) on pain and handfunctions in patients with De Quervain tenosynovitis: A prospective randomised controlled study. Int J Clin Pract. 2021Oct;75(10):e14581. doi: 10.1111/ijcp.14581. Epub 2021 Jul 6. PMID: 34185386.
  • Kittrelle JP, Grouse DS, Seybold ME. Cluster headache. Local anesthetic abortive agents. Arch Neurol. 1985 May;42(5):496-8.doi:10.1001/archneur.1985.04060050098017.
  • Magnoux E. Greater occipital nerve blockade for cluster headache. Cephalalgia. 2004 Mar;24(3):239. doi: 10.1111/j.1468-2982.2003.00659.x. PMID: 15009021.
  • Ashkenazi A, Schwedt T. Cluster headache--acute and prophylactic therapy. Headache. 2011 Feb;51(2):272-86. doi:10.1111/j.1526-4610.2010.01830.x. PMID: 21284609.
  • Leroux E, Ducros A. Occipital injections for trigemino-autonomic cephalalgias: evidence and uncertainties. Curr PainHeadache Rep. 2013 Apr;17(4):325. doi: 10.1007/s11916-013-0325-z. PMID: 23443504.
  • Marmura MJ. Intravenous lidocaine and mexiletine in the management of trigeminal autonomic cephalalgias. Curr PainHeadache Rep. 2010 Apr;14(2):145-50. doi: 10.1007/s11916-010-0098-6. PMID: 20425204.
  • Maciewicz R, Chung RY, Strassman A, Hochberg F, Moskowitz M. Relief of vascular headache with intravenous lidocaine:clinical observations and a proposed mechanism. Clin J Pain. 1988;4(1):11–16
  • Baraldi C, Pellesi L, Guerzoni S, Cainazzo MM, Pini LA. Therapeutical approaches to paroxysmal hemicrania, hemicraniacontinua and short lasting unilateral neuralgiform headache attacks: a critical appraisal. J Headache Pain. 2017 Dec;18(1):71.doi: 10.1186/s10194-017-0777-3. Epub 2017 Jul 20. PMID: 28730562; PMCID: PMC5519518.
  • Gaul C, Diener HC, Müller OM. Cluster headache: clinical features and therapeutic options. Dtsch Arztebl Int. 2011Aug;108(33):543-9. doi: 10.3238/arztebl.2011.0543. Epub 2011 Aug 19. PMID: 21912573; PMCID: PMC3167933.
Year 2023, Volume: 2 Issue: 3, 15 - 17, 25.12.2023

Abstract

References

  • May A, Schwedt TJ, Magis D, Pozo-Rosich P, Evers S, Wang SJ. Cluster headache. Nat Rev Dis Primers. 2018 Mar 1;4:18006.doi: 10.1038/nrdp.2018.6.
  • Hoffmann J, May A. Diagnosis, pathophysiology, and management of cluster headache. Lancet Neurol. 2018 Jan;17(1):75-83.doi: 10.1016/S1474-4422(17)30405- 2. Epub 2017 Nov 23. PMID: 29174963.
  • Matharu MS, Goadsby PJ. Trigeminal autonomic cephalgias. J Neurol Neurosurg Psychiatry. 2002 Jun;72 Suppl 2:ii19-ii26.doi: 10.1136/jnnp.72.suppl_2.ii19.
  • Wei DY, Khalil M, Goadsby PJ. Managing cluster headache. Pract Neurol. 2019 Dec;19(6):521-528. doi: 10.1136/practneurol-2018-002124.
  • Diener HC, May A. Drug Treatment of Cluster Headache. Drugs. 2022 Jan;82(1):33- 42. doi: 10.1007/s40265-021-01658-z.
  • Suri H, Ailani J. Cluster Headache: A Review and Update in Treatment. Curr Neurol Neurosci Rep. 2021 May 5;21(7):31. doi:10.1007/s11910-021-01114-1.
  • Robbins MS, Starling AJ, Pringsheim TM, Becker WJ, Schwedt TJ. Treatment of Cluster Headache: The American HeadacheSociety Evidence-Based Guidelines. Headache. 2016 Jul;56(7):1093-106. doi: 10.1111/head.12866. PMID: 27432623.
  • Weinschenk S. Handbuch Neuraltherapie, Diagnostik und Therapie mit Lokalanästhetika; 1. Auflage 2010, Elsevier GmbH,München
  • Fischer L. Pathophysiologie des Schmerzes und Neuraltherapie [Pathophysiology of pain and neural therapy]. Praxis (Bern1994). 2003 Nov 26;92(48):2051-9. German. doi: 10.1024/0369-8394.92.48.2051. PMID: 14694543.
  • Egli S, Pfister M, Ludin SM, Puente de la Vega K, Busato A, Fischer L. Long-term results of therapeutic local anesthesia(neural therapy) in 280 referred refractory chronic pain patients. BMC Complement Altern Med. 2015 Jun 27;15:200. doi:10.1186/s12906-015-0735-z. PMID: 26115657; PMCID: PMC4483221.
  • Nazlıkul H, Ural FG, Öztürk GT, Öztürk ADT. Evaluation of neural therapy effect in patients with piriformis syndrome. J BackMusculoskelet Rehabil. 2018;31(6):1105- 1110. doi: 10.3233/BMR-170980. PMID: 30010101.
  • Bölük Şenlikci H, Odabaşı ÖS, Ural Nazlıkul FG, Nazlıkul H. Effects of local anaesthetics (neural therapy) on pain and handfunctions in patients with De Quervain tenosynovitis: A prospective randomised controlled study. Int J Clin Pract. 2021Oct;75(10):e14581. doi: 10.1111/ijcp.14581. Epub 2021 Jul 6. PMID: 34185386.
  • Kittrelle JP, Grouse DS, Seybold ME. Cluster headache. Local anesthetic abortive agents. Arch Neurol. 1985 May;42(5):496-8.doi:10.1001/archneur.1985.04060050098017.
  • Magnoux E. Greater occipital nerve blockade for cluster headache. Cephalalgia. 2004 Mar;24(3):239. doi: 10.1111/j.1468-2982.2003.00659.x. PMID: 15009021.
  • Ashkenazi A, Schwedt T. Cluster headache--acute and prophylactic therapy. Headache. 2011 Feb;51(2):272-86. doi:10.1111/j.1526-4610.2010.01830.x. PMID: 21284609.
  • Leroux E, Ducros A. Occipital injections for trigemino-autonomic cephalalgias: evidence and uncertainties. Curr PainHeadache Rep. 2013 Apr;17(4):325. doi: 10.1007/s11916-013-0325-z. PMID: 23443504.
  • Marmura MJ. Intravenous lidocaine and mexiletine in the management of trigeminal autonomic cephalalgias. Curr PainHeadache Rep. 2010 Apr;14(2):145-50. doi: 10.1007/s11916-010-0098-6. PMID: 20425204.
  • Maciewicz R, Chung RY, Strassman A, Hochberg F, Moskowitz M. Relief of vascular headache with intravenous lidocaine:clinical observations and a proposed mechanism. Clin J Pain. 1988;4(1):11–16
  • Baraldi C, Pellesi L, Guerzoni S, Cainazzo MM, Pini LA. Therapeutical approaches to paroxysmal hemicrania, hemicraniacontinua and short lasting unilateral neuralgiform headache attacks: a critical appraisal. J Headache Pain. 2017 Dec;18(1):71.doi: 10.1186/s10194-017-0777-3. Epub 2017 Jul 20. PMID: 28730562; PMCID: PMC5519518.
  • Gaul C, Diener HC, Müller OM. Cluster headache: clinical features and therapeutic options. Dtsch Arztebl Int. 2011Aug;108(33):543-9. doi: 10.3238/arztebl.2011.0543. Epub 2011 Aug 19. PMID: 21912573; PMCID: PMC3167933.
There are 20 citations in total.

Details

Primary Language Turkish
Subjects Traditional, Complementary and Integrative Medicine (Other)
Journal Section Case Reports
Authors

Hicran Uşan 0000-0002-6707-224X

Muhammet Mustafa Çiftci 0000-0002-4263-3039

Gürkan Genç 0000-0003-3375-1268

Salih Ürper 0009-0000-6951-5932

Publication Date December 25, 2023
Submission Date August 10, 2023
Published in Issue Year 2023 Volume: 2 Issue: 3

Cite

APA Uşan, H., Çiftci, M. M., Genç, G., Ürper, S. (2023). EPİZODİK TİPTE KÜME TİPİ BAŞ AĞRISININ NÖRALTERAPİ İLE TEDAVİSİ: OLGU SUNUMU. Anadolu Tıbbı Dergisi, 2(3), 15-17.