성상신경절차단에 의한 전형적 편두통의 치료경험 -증례보고-

Stellate Ganglion Block for the Treatment of Classic Migraine -A case report-

편두통은 기전이 불분명하나 각종 신경전달물질이 작용하여 국소적인 혈관수축과 혈관확장을 일으킨다. 성상신경절차단은 뇌혈류의 증가, 신체항상성개선, 교감신경기능의 둔화등의 효과로 편두통의 치료에 있어서 의의를 갖는다고 사료된다. 그러나 아직 기전이 불분명하므로 이에 대한 더 많은 연구가 필요하다고 본다.

We had undertaken a stellate ganglion block everyday for the treatment of a classic migraine patient who is a twenty seven a year old male. He had experienced a very severe and frequent attack two or three times a month for several years. after ten times of stellate ganglion block, a headache attack occurred mildly. Seventeen times of stellate ganglion block were undertaken totally. Now he feels better. The intensity and the frequency of headache attack are markedly decreased. The pathophysiology and theraphy of classic migraine are unclear. The mechanism of stellate ganglion block for classic migraine treatment is also unknown. However, we think the stellate ganglion block contributes the improvement of hypothalamic blood flow, the recovery of homeostasis, and the weakening of sympathetic overactivity.