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Child's Nervous System
Published in: Child's Nervous System 12/2019

01-12-2019 | Cluster Headache | Original Article

Long-term efficacy of superficial temporal artery ligation and auriculotemporal nerve transection for temporal cluster headache in adolescent

Authors: Bowen Chang, Wanchun Zhu, Jin Zhu, Shiting Li

Published in: Child's Nervous System | Issue 12/2019

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Abstract

Objectives

Cluster headache is a primary headache disorder, which has affected up to 0.1% population. Superficial temporal artery ligation combined with auriculotemporal nerve transection (SLAT) is one of the surgical alternatives to treat the drug-resistant temporal cluster headache (TCH). The current work aimed to assess the effect of SLAT on TCH patients based on the very long-term clinical follow-up.

Methods

The current retrospective study had enrolled 20 adolescent TCH patients undergoing SLAT between December 2016 and January 2018. The headache diaries as well as the pain severity questionnaire of the visual analog scale (VAS) had been collected to measure the pain severity before and after surgery.

Results

The pain-free rates 3 days, as well as 1, 6, and 12 months, after SLAT surgery were 2.00%, 10.00%, 25.00%, and 70.00%, respectively. The frequency of TCH attack daily was found to be markedly reduced on the whole; besides, the pain degree was also remarkably decreased.

Conclusions

Results in this study indicate that the sustained headache can be relieved after SLAT in adolescent patients with intractable TCH.
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Metadata
Title
Long-term efficacy of superficial temporal artery ligation and auriculotemporal nerve transection for temporal cluster headache in adolescent
Authors
Bowen Chang
Wanchun Zhu
Jin Zhu
Shiting Li
Publication date
01-12-2019
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 12/2019
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-019-04277-y

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