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https://www.docguide.com/vidian-neurectomy-management-chronic-cluster-headache?tsid=5

 

Vidian Neurectomy for Management of Chronic Cluster Headache; Liu S, Kao M, Huang Y, Su W; Neurosurgery (Dec 2018)

BACKGROUND Management of chronic cluster headache (CCH) remains a challenging endeavor, and the optimal surgical approach for medically refractory CCH remains controversial.

OBJECTIVE To conduct a preliminary evaluation of the efficacy and safety of vidian neurectomy (VN) in patients with medically refractory CCH.

METHODS Between March 2013 and December 2015, 9 CCH patients, all of whom had failed to respond to conservative therapy, underwent VN with a precise nerve cut and maximal preservation of the sphenopalatine ganglion. Data included demographic variables, cluster headache onset and duration, mean attack frequency, mean attack intensity, and pain disability index measures pre- and through 12-mo postsurgery.

RESULTS Seven of the 9 cases (77.8%) showed immediate improvement. Improvement was delayed by 1 mo in 1 patient, after which the surgical effects of pain relief were maintained throughout the follow-up period. One patient (11.1%) did not improve after surgery. One year after VN, patients' mean attack frequency, mean attack intensity, and pain disability index decreased by 54.5%, 52.9%, and 56.4%, respectively. No patient experienced treatment-related side effects or complications.

CONCLUSION VN is an effective treatment method for CCH patients. Precise Vidian nerve identification and maximal preservation of the sphenopalatine ganglion may achieve good surgical outcomes and dramatically improve quality of life among patients, without significant adverse events.

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All I can say is thank god the busting is working for me. What a tough decision it must be to go through with something like a nervectomy. My heart goes out to those of you that have had to take drastic measures. 

Edited by Freud
Typo

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Wow that would be a massive decision to go down that path, I imagine there is very few surgeons around the world that would offer this procedure.

It would be good to here from someone first hand that has had this procedure.

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I have not had this procedure but did have the trigiminal nerve cut down at the Mayo Clinic back in 1982. I was part of this study;

https://www.ncbi.nlm.nih.gov/pubmed/12707445

There was 17 in the study. Lots of problems, they don't do it any longer. Stick with mm. 

I'm not sorry I had it done , it saved my life . Would not advise anyone have surgery . A true believer in busting.

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