345773

Effectiveness of Percutaneous Radiofrequency Cervical Zygapophyseal Neurotomy in Improving Chronic Cervicogenic Headache

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Last updated: 03 Jan 2025

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Abstract

Background: A variety of modalities have been developed to relieve cervicogenic headache. From these, percutaneous radiofrequency neurotomy is the most commonly investigated treatment option in the literature and has been reported to give satisfactory results. Objective: The present research evaluated radiofrequency neurotomy's effectiveness in reliving cervicogenic headaches, originating from the zygapophysial joint. Subjects and Methods: The current investigation was carried out at the Neurosurgery Department of Hospital of University of Suez Canal, Egypt, Ismailia. Twenty-four patients with chronic headache meeting the diagnostic criteria of cervicogenic headache were enrolled and underwent radiofrequency neurotomy. Afterwards, their pain intensity was assessed by Visual Analogue Scale (VAS) at one month, one week, twelve months, and at six months and compared to their baseline scores. Results: VAS scores improved by over 75% in 62.5% of patients 1 week following the treatment. This percentage increased to 87.5% after 1 month; however, it declined again to 70.8% in patients after 12 months. After the course of therapy, patients saw a sixty-five percent reduction in their weekly average analgesic administration and an average of 5.8 fewer headache days per week (down from 5.8 to 1.9). There were no significant post-procedural problems. Conclusion: Reducing the need for analgesics and alleviating chronic cervicogenic headaches are two major benefits of radiofrequency neurotomy.  

DOI

10.21608/ejhm.2024.345773

Keywords

Cervicogenic headache, Radiofrequency neurotomy, visual analogue scale

Volume

94

Article Issue

1

Related Issue

45268

Issue Date

2024-01-01

Receive Date

2024-03-14

Publish Date

2024-01-01

Page Start

1,046

Page End

1,049

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_345773.html

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https://ejhm.journals.ekb.eg/service?article_code=345773

Order

156

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Effectiveness of Percutaneous Radiofrequency Cervical Zygapophyseal Neurotomy in Improving Chronic Cervicogenic Headache

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Type

Article

Created At

24 Dec 2024