Sphenopalatine Ganglion Block and Radiofrequency Ablation

  • Samer N. NarouzeEmail author


The sphenopalatine ganglion (SPG) is a large extracranial neural structure that is located in the pterygopalatine fossa (PPF). It has rich autonomic sympathetic and parasympathetic components, which explains the autonomic features associated with cluster headache. Cluster headache involves activation of the parasympathetic outflow from the superior salivary nucleus of the facial nerve, predominantly through the SPG.


Cluster Headache Pterygopalatine Fossa Episodic Cluster Headache Sphenopalatine Ganglion Maxillary Nerve 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Goadsby P. Pathophysiology of cluster headache: a trigeminal autonomic cephalgia. Lancet Neurol. 2002;1:251–7.PubMedCrossRefGoogle Scholar
  2. 2.
    Salar G, Ori C, Iob I, Fiore D. Percutaneous thermocoagulation for sphenopalatine ganglion neuralgia. Acta Neurochir (Wien). 1987;84:24–8.CrossRefGoogle Scholar
  3. 3.
    Sanders M, Zuurmond W. Efficacy of sphenopalatine ganglion blockade in 66 patients suffering from cluster headaches: a 12- to17-month follow-up evaluation. J Neurosurg. 1997;87:876–80.PubMedCrossRefGoogle Scholar
  4. 4.
    Ruskin SL. Techniques of sphenopalatine therapy. Eye Ear Nose Throat Mon. 1951;30:28–31.PubMedGoogle Scholar
  5. 5.
    Sluder G. The role of the sphenopalatine ganglion in nasal headache. N Y State J Med. 1908;27:8–13.Google Scholar
  6. 6.
    Prasanna A, Murthy PS. Sphenopalatine ganglion block under vision using rigid nasal sinuscope. Reg Anesth. 1993;18:139–40.PubMedGoogle Scholar
  7. 7.
    Vallejo R, Benyamin R, Yousuf N, Kramer J. Computed tomography-enhanced sphenopalatine ganglion blockade. Pain Pract. 2007;7(1):44–6.PubMedCrossRefGoogle Scholar
  8. 8.
    Narouze S. Head and neck blocks. In: Huntoon M, Benzon H, Narouze S, editors. Spinal injections and peripheral nerve blocks. 1st ed. In: Deer T (series editor) Interventional and neuromodulatory techniques for pain management. Saunders: Elsevier; 2011.Google Scholar
  9. 9.
    Narouze S, Kapural L, Casanova J, Mekhail N. Sphenopalatine ganglion radiofrequency ablation for the management of chronic cluster headache. Headache. 2009;49:571–7.PubMedCrossRefGoogle Scholar
  10. 10.
    Narouze S. Complications of head and neck procedures. Tech Reg Anesth Pain Manag. 2007;11:171–7.CrossRefGoogle Scholar
  11. 11.
    Bayer E, Racz GB, Miles D, Heavner J. Sphenopalatine ganglion pulsed radiofrequency treatment in 30 patients suffering from chronic face and head pain. Pain Pract. 2005;5:223–7.PubMedCrossRefGoogle Scholar
  12. 12.
    Konen A. Unexpected effects due to radiofrequency thermocoagulation of the sphenopalatine ganglion: two case reports. Pain Dig. 2000;10:30–3.Google Scholar
  13. 13.
    Narouze SN. Role of sphenopalatine ganglion neuroablation in the management of cluster headache. Curr Pain Headache Rep. 2010;14:160–3.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Center for Pain Medicine, Western Reserve HospitalCuyahoga FallsUSA

Personalised recommendations