Cluster Headache with Ptosis Responsive to Intranasal Lidocaine Application: A Case Report
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Dosyalar
Tarih
2012
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Introduction. The application of lidocaine to the nasal mucosal area corresponding to the sphenopalatine fossa has been shown to be effective at extinguishing pain attacks in patients with a cluster headache. In this report, the effectiveness of local administration of lidocaine on cluster headache attacks as a symptomatic treatment of this disorder is discussed. Cases presentation. A 22-year-old Turkish man presented with a five-year history of severe, repeated, unilateral periorbital pain and headache, diagnosed as a typical cluster headache. He suffered from rhinorrhea, lacrimation and ptosis during headaches. He had tried several unsuccessful daily medications. We applied a cotton tip with lidocaine hydrochloride into his left nostril for 10 minutes. The ptosis responded to the treatment and the intensity of his headache decreased. Conclusion: Intranasal lidocaine is a useful treatment for the acute management of a cluster headache. Intranasal lidocaine blocks the neural transmission of the sphenopalatine ganglion, which contributes to the trigeminal nerve as well as containing both parasympathetic and sympathetic fibers.
Açıklama
Anahtar Kelimeler
Kaynak
Journal of Medical Case Reports
WoS Q Değeri
Scopus Q Değeri
Q3
Cilt
6
Sayı
Künye
Bakbak, B., Gedik, S., Ekinci Köktekir, B., Okka, M., (2012). Cluster Headache with Ptosis Responsive to Intranasal Lidocaine Application: A Case Report. Journal of Medical Case Reports, 6, 1-3. Doi:10.1186/1752-1947-6-64
