Amrita Roy* and Bibhukalyani Das

Department of Neuroanaesthesia, Institute of Neurosciences Kolkata, India

*Corresponding Author: Amrita Roy, Department of Neuroanaesthesia, Institute of Neurosciences Kolkata, India.

Received: December 30, 2024; Published: January 31, 2025

Abstract

Atypical facial pain now termed as Persistent Idiopathic Facial Pain (PIFP), by IASP and ICHD2 is defined as a pain in the face which is present daily and persists for almost full day. This type of pain has no known etiology neither any symptoms of other cranial neuralgia. A 62-year-old male patient came to us with complaint of poorly localized holocranial headache occasionally radiating to the occipital region since 3 years. Pain is spontaneous in onset and continues the whole day. There is no aggravating factors but sometimes get relieved by instillation of Intranasal Lignocaine spray. There is also no associated neurological sign or abnormality. The Headache did not respond to any analgesics but sometimes responded to pethidine. A lot of consultations were taken but everything was in vain. This created a lot of anxiety in the patient and he was very depressed due to this and was taking a lot of antidepressant drugs. Our approach to treatment started with psychological counseling, pharmacological drugs and a regular follow-up. The patient felt a little satisfied. Still now very little studies have been done regarding role of Sphenopalatine ganglion Radiofrequency Abalation in Atypical facial pain. But we obtained a magical result to this pain after the Sphenopalatine ganglion radiofrequency ABALATION.

 Keywords: Atypical Facial Pain; Chronic Pain; Depression; Management; International Association of Pain (IASP); International Classification of Headache Disorders (ICHD2)

References

1. Martin S. “Greenberg, Michael Glick. Oro facial pain. “Burkit’s text Oral Medicine diagnosis and treatment”. 10^th edition. Elsevier India (2003): 307-340.
2. J Olesen and TJ Steiner. “The international classification of headache disorders, 2^nd edition (ICDH-II)”. Journal of Neurology, Neurosurgery and Psychiatry 75 (2004): 808-811.
3. J Olesen,
4. T J Steiner
5. Agostoni E., et al. “Atypical facial pain: clinical considerations and differential diagnosis”. Neurological Sciences 26.2 (2005): s71-74.
6. Pfaffenrath V., et al. “Atypical facial pain-application of the IHS criteria in a clinical sample”. Cephalagia 13.12 (1993): 84-88.
7. Magis D., et al. “Neurostimulation therapies for primary headache disorders” 25.3 (2004): 269276.
8. Tolba R., et al. “Sphenopalatine ganglion block and radiofrequency ablation: technical notes and efficacy” 19 (2019): 32-37.
9. Schaffer JT., et al. “Noninvasive sphenopalatine ganglion block for acute headache in the emergency department: a randomized placebo-controlled trial”. Annals of Emergency Medicine 65 (2015): 503-510.
10. Türp JC and Gobetti JP. “Trigeminal neuralgia versus atypical facial pain. A review of the literature and case report”. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 81.4 (1996): 424-432.

Citation

Citation: Amrita Roy and Bibhukalyani Das. “Radio Frequency Abalation of Sphenopalatine Ganglion for Management of Refractory Atypical Facial Pain”. Acta Scientific Neurology 8.2 (2025): 10-12.

Copyright

Copyright: © 2025 Amrita Roy and Bibhukalyani Das. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.