Lucent Patient

sphenopalatine ganglion block

Treatment for Cluster Headache

Sphenopalatine ganglion (SPG) block for cluster headache involves local anesthetic or neurolytic agent application to interrupt parasympathetic nerve transmission in the pterygopalatine fossa. By blocking sympathetic and parasympathetic neural pathways, the procedure reduces neurogenic inflammation and pain signaling, providing significant analgesic and vasomotor effects that can interrupt the pain cascade characteristic of cluster headaches.

2.7

AVERAGE EFFICACY

CASE STUDIES

REDDIT COMMENTS

REPORTED SIDE EFFECTS

Case Studies

No case studies available.

Reddit Comments

cauliflower-shower

4.0

Chiming in on SPG blocks, none of that other shit works well enough even though I'm doing everything but the triptans (which do nothing for my CH)

Sphenopalatine ganglion block

Reported Side Effects

General side effect

Missile_Pilot

4.0

6 years of chronic cluster headaches for me. Been thru the entire list of preventive meds, 1x month SPG blocks then 2x week SPG blocks for 6 weeks, Occipital Nerve Stimulator from Boston Scientific. The day Emgality was approved by FDA for cluster we...View more

EmgalitySphenopalatine ganglion blockNerve stimulation

Reported Side Effects

General side effect

RedShiningCat

4.0

If you have an intractable migraine (which it sounds like you do), does your migraine doc offer cycle breakers? I’m on Ubrelvy and Trudhesa for rescue but sometimes (usually when it’s a hormonal migraine) those aren’t enough so my migraine doc sends...View more

CorticosteroidsErgot alkaloidsNabumetoneSphenopalatine ganglion block

Reported Side Effects

General side effect

Acceptably_Late

4.0

Fellow non-triptan user here: +1 on Benadryl, I do two doses- 50mg x1 and then follow up dose of minimum 25mg. It works surprisingly well in crap resistant migraines. If you’re in a cycle of unending migraines, ask about steroids to break it. I...View more

AntihistaminesCorticosteroidDheCgrp antagonistAtogepantBotoxSphenopalatine ganglion block

Reported Side Effects

Cardiac effects