Sphenopalatine Ganglion Block Successfully Treats Migraines in a Type 1 Arnold Chiari Malformation Pregnant Patient: A Case Report

Danielle Levin; Shaul Cohen; Scott Mellender; Geza Kiss

doi:10.1213/XAA.0000000000000722

Sphenopalatine Ganglion Block Successfully Treats Migraines in a Type 1 Arnold Chiari Malformation Pregnant Patient: A Case Report

Danielle Levin, Shaul Cohen, Scott Mellender, Geza Kiss

Robert Wood Johnson Medical School (RWJMS), Anesthesiology

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

A 32-year-old woman at 36 weeks gestation with a medical history of corrected Type 1 Arnold Chiari malformation presented with an intractable headache. When methylprednisolone and morphine treatment provided no relief, we performed 2 topical transnasal sphenopalatine ganglion blocks by applying 4% lidocaine drops into each nostril via a cotton-tipped applicator. The patient's symptoms significantly improved, and she was discharged home the same day. She has been without relapse of headaches during the 6 months of follow-up by our pain service.

Original language	English (US)
Pages (from-to)	32-34
Number of pages	3
Journal	A&A practice
Volume	11
Issue number	2
DOIs	https://doi.org/10.1213/XAA.0000000000000722
State	Published - Jul 15 2018

All Science Journal Classification (ASJC) codes

General Medicine

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10.1213/XAA.0000000000000722

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title = "Sphenopalatine Ganglion Block Successfully Treats Migraines in a Type 1 Arnold Chiari Malformation Pregnant Patient: A Case Report",

abstract = "A 32-year-old woman at 36 weeks gestation with a medical history of corrected Type 1 Arnold Chiari malformation presented with an intractable headache. When methylprednisolone and morphine treatment provided no relief, we performed 2 topical transnasal sphenopalatine ganglion blocks by applying 4% lidocaine drops into each nostril via a cotton-tipped applicator. The patient's symptoms significantly improved, and she was discharged home the same day. She has been without relapse of headaches during the 6 months of follow-up by our pain service.",

author = "Danielle Levin and Shaul Cohen and Scott Mellender and Geza Kiss",

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Sphenopalatine Ganglion Block Successfully Treats Migraines in a Type 1 Arnold Chiari Malformation Pregnant Patient: A Case Report

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