Real-time ultrasound-guided stellate ganglion block for migraine: an observational study

Jiawei Hou, Shaofeng Pu, Xingguo Xu, Zhiqiang Lu, Junzhen Wu, Jiawei Hou, Shaofeng Pu, Xingguo Xu, Zhiqiang Lu, Junzhen Wu

Abstract

Objective: To observe whether ultrasound-guided stellate ganglion block (SGB) can effectively relieve migraine pain and improve the quality of migraine patients' life.

Methods: 81 patients with migraines were enrolled in this study. The patients received SGB with 6 ml of 0.15% ropivacaine once every week for four times. Migraine was assessed with the Migraine Disability Assessment Scale (MIDAS) at baseline and three-months follow-up (Tm). The numerical rating scale (NRS) score at baseline, one day after treatment (Td) and Tm, the frequency of analgesic use in 3 months and the side effects were also recorded at the same time.

Results: The NRS score of migraine subjects decreased significantly from 7.0 (2.0) to 3.0 (1.0) at Td and 2.0 (2.0) at Tm (vs baseline, P < 0.01). The MIDAS total scores were 14.0 (10.5) at baseline and 7.0 (4.5) at Tm (P < 0.001). During the three months, the frequency of analgesic consumption was decreased from 6.2 ± 2.8 to 1.9 ± 1.8. There were no serious side effects.

Conclusions: This study confirmed that ultrasound-guided SGB is an effective method to treat migraines. This technique can reduce pain and disability and then improve the quality of life of patients with migraines.

Keywords: Migraine; Stellate ganglion block (SGB); Ultrasound guidance.

Conflict of interest statement

The authors declare that they have no conflicts of interest.

© 2022. The Author(s).

Figures

Fig. 1
Fig. 1
Ultrasonic exploration of stellate ganglion. A: Patient’s position and placement of ultrasound probe. B: Ultrasound image of the cervical structure during stellate ganglion block.1, thyroid; 2, common carotid artery; 3, internal jugular vein; 4, brachial plexus; 5, vertebral artery; 6, longus colli muscle
Fig. 2
Fig. 2
Stellate ganglion block process. A: The tip of the needle reached the surface of the longus colli muscle and the 5 o’clock position of the carotid artery. B: After administration of ropivacaine, the carotid artery can be seen floating like a balloon in real time under ultrasound, which indicates that the ropivacaine diffuses in the paravertebral space and can effectively block the stellate ganglion. 1, common carotid artery; 2, longus colli muscle; The three arrows indicate the puncture needle, and the two-way arrows indicate that the distance between the common carotid artery and the longus colli muscle is larger than that in Fig. A
Fig. 3
Fig. 3
Flow chart for selecting study population

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Source: PubMed

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