The use of positive airway pressure and transauricular vagus nerve stimulation in a paroxysmal hemicranias and assessment of sympathetic skin response
Neurology Asia, cilt.26, sa.1, ss.175-178, 2021 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 26 Sayı: 1
- Basım Tarihi: 2021
- Dergi Adı: Neurology Asia
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, EMBASE
- Sayfa Sayıları: ss.175-178
- Anahtar Kelimeler: Headache, Sleep apnoea, Trigeminal autonomic cephalgia, Vagus nerve stimulation
- Ankara Yıldırım Beyazıt Üniversitesi Adresli: Evet
Özet
Paroxysmal hemicrania is characterised by severe short-term unilateral headaches that are associated with ipsilateral cranial autonomic symptoms. A rare headache type, paroxysmal hemicrania is included in the trigeminal autonomic cephalgia group of primary headache. The relationship between paroxysmal hemicrania and sleep apnoea has not been previously reported in the literature. Noninvasive vagus nerve stimulation offers an alternative treatment option for patients who cannot tolerate indomethacin or other traditional treatments. We report the case of a female patient with sleep apnoea and paroxysmal hemicrania who could not use indomethacin and other therapies. Her headaches temporarily regressed with positive airway pressure treatments and positively responded to transauricular vagus nerve stimulation. We evaluated the stimulatory effect of this treatment by examining the patient’s sympathetic skin responses.