Bakbak, BerkerGedik, ŞansalEkinci Köktekir, BengüOkka, Mehmet2020-03-262020-03-262012Bakbak, 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:10.1186/1752-1947-6-641752-1947https://dx.doi.org/10.1186/1752-1947-6-64https://hdl.handle.net/20.500.12395/28744Introduction. 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.en10.1186/1752-1947-6-64info:eu-repo/semantics/openAccessArticle613Q3