Cluster Headache—Acute and Prophylactic Therapy

Avi Ashkenazi, MD; Todd Schwedt, MD


Headache. 2011;51(2):272-286. 

In This Article

Invasive Procedures for Cluster Headache Treatment

With an individually tailored pharmacologic treatment plan, the majority of CH patients will achieve satisfactory results. For those who remain refractory to medical treatment, a number of invasive procedures are available. These include peripheral nerve blocks, peripheral or central neurostimulation and, as a last resort, ablative surgery. Peripheral nerve block, mostly targeting the greater occipital nerve (GON), may also be used in less refractory patients, as an adjunct to pharmacologic therapy.


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