MİGREN HASTALARINA UYGULANAN BÜYÜK OKSİPİTAL SİNİR PULSED RADYOFREKANS İŞLEMİNİN ETKİNLİĞİ

Amaç Bu çalışmanın amacı migren hastalarına uygulanan büyük oksipital sinir (GON) pulsed radyofrekans (PRF) işleminin baş ağrısı şiddet, sıklık ve sürelerine etkisini değerlendirmektir. Gereç ve Yöntem Bu retrospektif çalışmada dirençli migren tanısı olan ve GON PRF işlemi uygulanmış 27 hastanın verileri tarandı. Hastaların işlemden önceki sayısal derecelendirme ölçeği (NRS), baş ağrısı sıklığı ve süresi, işlemden sonraki 1.,3.,6.,9. aylardaki NRS, baş ağrısı sıklık ve süre değerleriyle karşılaştırıldı. Bulgular Hastaların yaş ortalamaları 41,11±12,18’di. Hastalık tanı süreleri (yıl) ortalama 12,74±9,42’di. Hastaların GON PRF işlemi öncesi NRS değerleri 8,81±0,62, atak sıklık (ay) değerleri 7,70±4,19, atak süreleri (saat) değerleri 36,44±20,82’di. Hastaların GON PRF işlemi sonrası 1.,3.,6.,9. aylardaki NRS, atak sıklığı ve atak süreleri işlem öncesi NRS, atak sıklığı ve atak süreleri ile kıyaslandığında istatistiksel olarak anlamlı derecede düşük bulundu. Sonuç Biz çalışmamızda GON PRF işleminin 9 aylık süre boyunca migren atak şiddetini, sıklığını ve süresini azalttığını gözlemledik.

Anahtar Kelimeler:

migren, pulsed radyofrekans, büyük oksipital sinir

EFFICACY OF PULSED RADIOFREQUENCY PROCEDURE OF GREATER OCCIPITAL NERVE PERFORMED TO MIGRAINE PATIENTS

Objective The aim of this study is to evaluate the effect of the greater occipital nerve (GON) pulsed radiofrequency (PRF) procedure performed to migraine patients on headache severity, frequency and duration. Material and Methods İn this retrospective study, the data of 27 patients with a diagnosis of resistant migraine who underwent GON PRF were scanned. The numerical evaluation scale (NRS), headache frequency and duration before the procedure, 1, 3, 6, 9 months after the procedure, NRS, frequency and duration values of the patients were compared. Results The mean age of the patients was 41.11±12.18. The mean duration of disease diagnosis (years) was 12.74±9.42. The mean NRS values of the patients before the GON PRF procedure were 8.81±0.62, the mean attack frequency (month) values were 7.70±4.19, and the mean attack duration (hour) values were 36.44±20.82. After the GON PRF procedure, 1, 3, 6, 9 months NRS, attack frequency and attack duration of the patients were found to be statistically significantly lower when compared with pre-procedure NRS, attack frequency and attack duration. Conclusions In our study, we observed that the GON PRF procedure reduced the severity, frequency and duration of attacks over a 9-month period.

Keywords:

migraine, pulsed radiofrequency, greater occipital nerve,

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