scholarly journals Pupil‐sparing cranial nerve III palsy after intranasal cocaine treatment for cluster headache

2020 ◽  
Vol 1 (5) ◽  
pp. 935-937
Author(s):  
Philip M. Davis ◽  
Mark L. Riddle
Keyword(s):  
Cluster Headache ◽  
Cranial Nerve ◽  
Intranasal Cocaine

scholarly journals Multiple cranial nerve blocks for the transitional treatment of chronic headaches

Cephalalgia ◽  
2019 ◽  
Vol 39 (12) ◽  
pp. 1488-1499 ◽  
Author(s):  
Sarah Miller ◽  
Susie Lagrata ◽  
Manjit Matharu
Keyword(s):  
Cluster Headache ◽  
Chronic Migraine ◽  
Cranial Nerve ◽  
Chronic Cluster Headache ◽  
Hemicrania Continua ◽  
Paroxysmal Hemicrania ◽  
Nerve Blocks ◽  
Greater Occipital Nerve ◽  
Chronic Paroxysmal Hemicrania ◽  
Multiple Cranial Nerve

Background Multiple cranial nerve blocks of the greater and lesser occipital, supraorbital, supratrochlear and auriculotemporal nerves are widely used in the treatment of primary headaches. We present efficacy and safety data for these procedures. Methods In an uncontrolled open-label prospective study, 119 patients with chronic cluster headache, chronic migraine, short lasting unilateral neuralgiform attack disorders, new daily persistent headaches, hemicrania continua and chronic paroxysmal hemicrania were examined. All had failed to respond to greater occipital nerve blocks. Response was defined as a 50% reduction in either daily attack frequency or moderate-to-severe headache days after 2 weeks. Results The response rate of the whole cohort was 55.4%: Chronic cluster headache, 69.2%; chronic migraine, 49.0%; short lasting unilateral neuralgiform attack disorders, 56.3%; new daily persistent headache, 10.0%; hemicrania continua, 83.3%; and chronic paroxysmal hemicrania, 25.0%. Time to benefit was between 0.50 and 33.58 hours. Benefit was maintained for up to 4 weeks in over half of responders in all groups except chronic migraine and paroxysmal hemicrania. Only minor adverse events were recorded. Conclusion Multiple cranial nerve blocks may provide an efficacious, well tolerated and reproducible transitional treatment for chronic headache disorders when greater occipital nerve blocks have been unsuccessful.

2-21-04 Intranasal cocaine and lidocaine are equally effective on nitroglycerin-induced pain in cluster headache

1997 ◽  
Vol 150 ◽  
pp. S103
Author(s):  
A. Costa ◽  
E. Pucci ◽  
F. Antonaci ◽  
G. Broich ◽  
G. Sances ◽  
...  
Keyword(s):  
Cluster Headache ◽  
Intranasal Cocaine

The Effect of Intranasal Cocaine and Lidocaine on Nitroglycerin‐Induced Attacks in Cluster Headache

Cephalalgia ◽  
2000 ◽  
Vol 20 (2) ◽  
pp. 85-91 ◽  
Author(s):  
A Costa ◽  
E Pucci ◽  
F Antonaci ◽  
G Sances ◽  
F Granella ◽  
...  
Keyword(s):  
Cluster Headache ◽  
Symptomatic Treatment ◽  
Local Administration ◽  
Cotton Swab ◽  
Double Blind ◽  
Anaesthetic Agents ◽  
Intranasal Cocaine ◽  
Cocaine Hydrochloride ◽  
Local Use ◽  
Symptomatic Side

The administration of nitroderivatives in cluster headache (CH) sufferers is the most reproducible experimental paradigm to induce spontaneous‐like pain attacks. Previous uncontrolled studies have reported that the local use of anaesthetic agents in the area of the sphenopalatine fossa is able to extinguish nitroglycerin (NTG)‐induced pain in CH. The present study, carried out according to a double‐blind placebo‐controlled design, included 15 CH patients, six with episodic CH (mean ± sd age of 36.8 ± 5.6 years), and nine with chronic CH (37.8 ± 10.4 years). Patients had undergone a standard NTG test (0.9 mg sublingually), during which the intensity of pain was scored using a visuo‐analogic scale (VAS, range 0–10). Nine patients (two with the episodic form, seven with the chronic form) experienced a typical, spontaneous‐like attack on the usual side, occurring in all cases within 45 min. In these patients, the test was repeated with an interval of 2 days, and once pain intensity reached 5 on the VAS, a 10% solution of cocaine hydrochloride (1 ml, mean amount per application 40–50 mg), or 10% lidocaine (1 ml), or saline was applied using a cotton swab in the area corresponding to the sphenopalatine fossa, under anterior rhinoscopy. This was done in both the symptomatic and the non‐symptomatic side, for 5 min. Treatments were always performed randomly, in separate sessions. All patients responded promptly to both anaesthetic agents, with complete cessation of induced pain occurring after 31.3 ± 13.1 min for cocaine and 37.0 ± 7.8 min for lidocaine (M ± sd). In the case of saline application, pain severity increased thereafter, and extinction of the provoked attacks occurred with a latency of 59.3 ± 12.3 min ( P < 0.01 and P < 0.01 vs. cocaine and lidocaine, respectively, Mann–Whitney U‐test). While further suggesting that the sphenopalatine ganglion participates in the mechanisms of pain, these findings indicate that the local administration of the anaesthetic agents cocaine and lidocaine is effective on NTG‐induced CH attacks, and may be used in the symptomatic treatment of this disorder.

Epidermoid Tumour of the Posterior Fossa Causing Multiple Facial Pain a Case Report

Cephalalgia ◽  
1991 ◽  
Vol 11 (1) ◽  
pp. 33-36 ◽  
Author(s):  
Célio Levyman ◽  
Americo dos Santos Poça Dagua Filho ◽  
Margarete Mota Volpato ◽  
Flavio Aurelio Parente Settanni ◽  
Wanderley Cerqueira de Lima
Keyword(s):  
Case Report ◽  
Cluster Headache ◽  
Posterior Fossa ◽  
Cranial Nerve ◽  
Facial Pain ◽  
Epidermoid Tumour

A 53-year-old woman presented with three types of pain. The pains had characteristics of neuralgia of the fifth cranial nerve, ninth cranial nerve, and cluster headache. On further investigation, a tumour in the posterior fossa was observed and histologically shown to be an epidermoid tumour.

Management of Cranial Nerve Injury Following Surgery of the Skull Base

1984 ◽  
Vol 17 (3) ◽  
pp. 577-589 ◽  
Author(s):  
Robert Thayer Sataloff ◽  
Donald L. Myers ◽  
Frederic B. Krenter
Keyword(s):  
Skull Base ◽  
Nerve Injury ◽  
Cranial Nerve ◽  
Cranial Nerve Injury

Abstract #805021: Cluster Headache as Initial Presentation of Macroprolactinoma

2020 ◽  
Vol 26 ◽  
pp. 212
Author(s):  
Kevin Arao
Keyword(s):  
Cluster Headache ◽  
Initial Presentation

Cranial Nerve IV Damage as a Sign of Underlying Pediatric Traumatic Brain Injury

2009 ◽  
Author(s):  
Taighlor Whittington ◽  
Darlyne G. Nemeth ◽  
Traci W. Olivier
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Cranial Nerve ◽  
Pediatric Traumatic Brain Injury

Facial nerve outcome after acoustic neuroma surgery: A study from the era of cranial nerve monitoring

1994 ◽  
Vol 111 (5) ◽  
pp. 561-570 ◽  
Author(s):  
A LALWANI ◽  
F BUTT ◽  
R JACKLER ◽  
L PITTS ◽  
C YINGLING
Keyword(s):  
Facial Nerve ◽  
Acoustic Neuroma ◽  
Cranial Nerve ◽  
Nerve Monitoring ◽  
Acoustic Neuroma Surgery

Try Higher Oxygen Flow For Cluster Headache

2005 ◽  
Vol 35 (6) ◽  
pp. 67
Author(s):  
ROBERT FINN
Keyword(s):  
Cluster Headache ◽  
Oxygen Flow
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