Summary
Complicated migraine is regarded as a cerebrovascular syndrome of functional character. In the case of a young man with cervical migraine associated with paroxysmal neurological disorders and persisting EEG abnormalities, stellate ganglion blocks were performed under EEG control. A transient amelioration of the pathological EEG pattern was observed after each stellate ganglion block and after several treatments the EEG was normal and the migraine attacks disappeared. The pathophysiology of the effect of stellate ganglion block on cerebral blood flow is discussed.
Literatur
Amyes, E. W., Perr, S. M.: Stellate ganglion block in the treatment of acute cerebral thrombosis and embolism. J. Amer. med. Ass. 142, 15 (1950)
Bärtschi-Rochaix, W.: Headaches of cervical origin. In: Handbook of clinical neurology, Bd. 5. Amsterdam: North-Holland Publishing Comp. 1968
Beickert, P.: Das Verhalten der Piaarterien nach einseitiger Stellatum-Blockade und auf einseitigen vegetativen Reiz im Tierversuch. Dtsch. Z. Nervenheilk. 170, 285–294 (1953)
Bruyn, G. W.: Complicated migraine. In: Handbook of clinical neurology, Bd. 5. Amsterdam: North-Holland Publishing Comp. 1968
Carter, A. B.: Cerebral infarction. Oxford: Pergamon Press 1964
Duke, H. T., Vieth, R. G.: Cerebral arteriography during migraine prodrome and headache. Neurology 14, 636–639 (1964)
Engel, G. L., Ferris, E. B., Romano, U.: Focal elektroencephalographic changes during the scotomas of migraine. Amer. J. med. Sci. 209, 650 (1945)
Forbes, H. S., Cobb, S. S.: Vasomotor control of cerebral vessels. Brain 61, 221–223 (1938)
Friedman, H. P.: Migraine. Pathophysiology and pathogenesis. In: Handbook of clinical neurology, Bd. 5. Amsterdam: North-Holland Publishing Comp. 1968
Harmel, M. H., Hafkenschiel, J. H., Austin, G. M., Crumpton, C. W., Kety, S. S.: The effect of bilateral stellate ganglion block on the cerebral circulation in normotensive and hypertensive patients. J. clin. Invest. 28, 415–418 (1949)
Harper, A. M., Deshmukh, V. D., Rowan, J. O., Jennet, W. B.: The influence of sympathetic nervous activity on cerebral blood flow. Arch. Neurol. 27, 1–6 (1972)
Jenkner, F. L.: Nervenblockaden. Indikationen und Technik. Wien-New York: Springer 1972
Leicher, H.: Ganglion stellatum- und Sympathikus-Blockaden in der Hals-Nasen-Ohrenheilkunde. Z. Laryng. Rhinol. 49, 703–733 (1970)
Leriche, R., Fontaine, R.: De l'infiltration stellaire dans les embolies cérébrales, dans les spasmes vasculaires postopératoires de l'encephale et chez les hémiplégiques. Rev. Chir. (Paris) 74, 755–758 (1936)
Ludwigs, N., Schneider, M.: Über den Einfluß des Halssympathicus auf die Gehirndurchblutung. Pflügers Arch. ges. Physiol. 259, 43–55 (1954)
Millikan, C. H., Lundy, J. S., Smith, L. A.: Evaluation of stellate ganglion block for acute focal cerebral infarcts. J. Amer. med. Ass. 151, 438–440 (1953)
Molnar, L.: Données récentes sur la régulation du débit sanguin cérébral. Actualités neurophysiol. 7, 217–238 (1967)
Scheinberg, P.: Cerebral blood flow in vascular diseases of the brain, with observations on the effects of stellate ganglion block. Amer. J. Med. 8, 139–147 (1950)
Schmidt, C. F.: The intrinsic regulation of the circulation in the parietal cortex of the cat. Amer. J. Physiol. 114, 572 (1936)
Shenkin, H. A., Cabieses, F., van den Noordt, G.: The effect of bilateral stellectomy upon the cerebral circulation of man. J. clin. Invest. 30, 90–93 (1951)
Skinhøj, E.: Hemodynamic studies within the brain during migraine. Arch. Neurol. 28, 95–98 (1973)
Wolff, H. G.: Headache and other head pain. New York: Oxford University Press 1963
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Ullrich, J. Zur Anwendung der Stellatum-Blockade unter EEG-Kontrolle bei cervicogener Migraine accompagnée. J. Neurol. 209, 301–306 (1975). https://doi.org/10.1007/BF00314370
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DOI: https://doi.org/10.1007/BF00314370