SPG Block - NorHead - Norwegian Centre for Headache Research
Blocking the Sphenopalatine Ganglion (SPG)
The pain from cluster headache and migraine attacks is partly driven by a reflex from the brainstem. This reflex pathway has a relay point in a nerve bundle called "sphenopalatine ganglion" (SPG), which is located in the facial skeleton.
Many patients do not respond to the available treatments for chronic migraine and cluster headache. Blocking the SPG is a treatment strategy that has been insufficiently explored these pain conditions. The main reason is probably that the nerve bundle is small and difficult to access.
Our solution has been to develop navigation-guided injections. With medical equipment developed at NTNU and St. Olavs Hospital, we are now able to perform very precise injections to block this nerve cluster. The treatment is carried out as an outpatient procedure.
This video explains how the treatment is performed
The video is for informational purposes only. The instrument is licensed to the Belgian company Man & Science, and the video is produced by them.
Current research
The treatment described here is still under trial. NorHead has its own ongoing research studies to investigate the effect on treatment-resistant chronic migraine and chronic cluster headache.
Information about the trials (in Norwegian):