Clinical Efficacy of Radiofrequency Cervical Zygapophyseal Neurotomy in Patients with Chronic Cervicogenic Headache.
10.3346/jkms.2007.22.2.326
- Author:
Jang Bo LEE
1
;
Jung Yul PARK
;
Juno PARK
;
Dong Jun LIM
;
Sang Dae KIM
;
Heung Seob CHUNG
Author Information
1. Department of Neurosurgery, Korea University Ansan Hospital, 516 Gojan-dong, Danwon-gu, Ansan, Korea. jypark@kumc.or.kr
- Publication Type:Original Article ; Clinical Trial
- Keywords:
Cervicogenic Headache;
Zygapophyseal Joint;
Radiofrequency Neurotomy
- MeSH:
Zygapophyseal Joint/*innervation/*surgery;
Treatment Outcome;
Spinal Nerves/*surgery;
Post-Traumatic Headache/diagnosis/*surgery;
Pain Measurement;
Middle Aged;
Male;
Humans;
Female;
Denervation/*methods;
Catheter Ablation/*methods
- From:Journal of Korean Medical Science
2007;22(2):326-329
- CountryRepublic of Korea
- Language:English
-
Abstract:
The purpose of the present study was to assess the clinical efficacy of radiofrequency (RF) cervical zygapophyseal joint neurotomy in patients with cervicogenic headache. A total of thirty consecutive patients suffering from chronic cervicogenic headaches for longer than 6 months and showing a pain relief by greater than 50% from diagnostic/prognostic blocks were included in the study. These patients were treated with RF neurotomy of the cervical zygapophyseal joints and were subsequently assessed at 1 week, 1 month, 6 months, and at 12 months following the treatment. The results of this study showed that RF neurotomy of the cervical zygapophyseal joints significantly reduced the headache severity in 22 patients (73.3%) at 12 months after the treatment. In conclusion, RF cervical zygapophyseal joint neurotomy has shown to provide substantial pain relief in patients with chronic cervicogenic headache when carefully selected.
