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Papers of the Week

2020 Feb 14

Med Clin (Barc)



Efficacy and safety of surgical treatment of cluster headache.


Belvis R, Rodríguez R, Guasch M, Álvarez M J, Molet J, Roig C
Med Clin (Barc). 2020 Feb 14; 154(3):75-79.
PMID: 31753322.


Cluster headache (CR) is the most severe human headache and is chronic in 10%-20% of patients, and 10% can become refractory to all effective drugs. In this scenario, surgical procedures are indicated: radiofrequencies of the sphenopalatine ganglion ipsilateral to pain (RF-SPG), bilateral stimulation of the occipital nerves (NOM-S) and deep brain stimulation (DBS) of the ipsilateral posterior hypothalamus. The efficacy and safety of each of these procedures has been specifically analyzed, but the progress of a series of patients following this surgical route in order of aggressiveness has not been described.