Epizodik gerilim tipi başağrısının başarılı tedavisinde perikraniyal kasların rolü

Ömer Karadaş; Avni Babacan; Levent Hakan Gül; İlker Hüseyin İpekdal; Ülkü Türk Börü

doi:10.5505/agri.2012.57704

Ömer Karadaş^¹, Avni Babacan^², Levent Hakan Gül^³, İlker Hüseyin İpekdal^⁴, Ülkü Türk Börü^³

¹Department Of Neurology, Erzincan Military Hospital, Erzincan, Turkey
²Department Of Algology, Gazi University Faculty Of Medicine, Ankara, Turkey
³Department Of Neurology, Kartal Traınıng And Research Hospıtal, İstanbul, Turkey
⁴Department Of Neurology, Near East University Hospital, Cyprus, Republic Of Turkish

Keywords: Tension type headache, Local anesthetic injection, Lidocaine, Pericranial tenderness

Abstract

Objective: Peripheral and central nociceptive mechanisms are responsible in the development of Tension Type Headache (TTH). Analgesics are frequently used in the treatment of acute TTH. Antidepressants are used in the prevention. In this study, therapeutic efficacy of local application of lidocaine was investigated in Episodic Tension Type Headache (ETTH) patients.
Materials and methods: ETTH patients with pericranial tenderness (n=20, Group 1) and without pericranial tenderness (n=20, Group 2) were included into our study. Three sessions of local injection of 1% lidocaine were performed in both groups. Two-sided intramuscular injections of 1 mL were applied for each patient. The muscles were frontal, temporal, masseter, sternokloidomastoid, semispinalis capitis, splenius capitis and trapezius muscles. Patients were evaluated in 1st, 2nd. and 3th months. The number of painful days per month and pain intensities were recorded according to Visual Analog Scale (VAS) before and after the treatment
Results: Of the patients; 11 were males and 29 were females. The mean ages of Group 1 and Group 2 were 35.95 ± 9.85 (18-53) and 34.85 ± 10.04 (20-54) years respectively. There was no difference between the groups in terms of age, gender, pain frequency and pain intensity (p> 0.05). The frequency and severity of pain was significantly lower in pericranial sensitive ETTH patients at 1st, 2nd. and 3th months after local lidocaine injections compared with ETTH patients having pericranial tenderness (p <0.05).
Conclusions: Local lidocaine application can be used as an effective method in the treatment of ETTH patients with pericranial tenderness.

BibTex	`@article{ agri597, doi = {10.5505/agri.2012.57704}, author = {Ömer Karadaş, Avni Babacan, Levent Hakan Gül, İlker Hüseyin İpekdal, Ülkü Türk Börü}, title = {Epizodik gerilim tipi başağrısının başarılı tedavisinde perikraniyal kasların rolü}, journal = {Agri}, year = {2012}, volume = {24}, number = {4}, pages = {153-158}, publisher = {The Turkish Society of Algology} }`
RIS	`TY - JOUR AU - Ömer Karadaş, Avni Babacan, Levent Hakan Gül, İlker Hüseyin İpekdal, Ülkü Türk Börü PY - 2012 TI - Epizodik gerilim tipi başağrısının başarılı tedavisinde perikraniyal kasların rolü SP - 153 EP - 158 JO - The Journal of the Turkish Society of Algology J2 - Agri VL - 24 IS - 4 PB - DO - 10.5505/agri.2012.57704 ER -`
EndNote	`%0 Journal Article %A Ömer Karadaş, Avni Babacan, Levent Hakan Gül, İlker Hüseyin İpekdal, Ülkü Türk Börü %T Epizodik gerilim tipi başağrısının başarılı tedavisinde perikraniyal kasların rolü %J The Journal of the Turkish Society of Algology %D 2012 %V 24 %N 4 %P 153-158 %R 10.5505/agri.2012.57704`
APA	Ömer Karadaş, Avni Babacan, Levent Hakan Gül, İlker Hüseyin İpekdal, Ülkü Türk Börü (2012). Epizodik gerilim tipi başağrısının başarılı tedavisinde perikraniyal kasların rolü. The Journal of the Turkish Society of Algology, 24(4), 153-158. doi:10.5505/agri.2012.57704
MLA	Ömer Karadaş, Avni Babacan, Levent Hakan Gül, İlker Hüseyin İpekdal, Ülkü Türk Börü. "Epizodik gerilim tipi başağrısının başarılı tedavisinde perikraniyal kasların rolü" The Journal of the Turkish Society of Algology, vol. 24, no. 4, 2012, pp. 153-158. doi:10.5505/agri.2012.57704.
Chicago	Ömer Karadaş, Avni Babacan, Levent Hakan Gül, İlker Hüseyin İpekdal, Ülkü Türk Börü. "Epizodik gerilim tipi başağrısının başarılı tedavisinde perikraniyal kasların rolü" The Journal of the Turkish Society of Algology 24, no. 4 (2012): 153-158. https://doi.org/10.5505/agri.2012.57704.
AMA	Ömer Karadaş, Avni Babacan, Levent Hakan Gül, İlker Hüseyin İpekdal, Ülkü Türk Börü. Epizodik gerilim tipi başağrısının başarılı tedavisinde perikraniyal kasların rolü. Agri. 2012; 24(4): 153-158. doi:10.5505/agri.2012.57704.
Vancouver	Ömer Karadaş, Avni Babacan, Levent Hakan Gül, İlker Hüseyin İpekdal, Ülkü Türk Börü. Epizodik gerilim tipi başağrısının başarılı tedavisinde perikraniyal kasların rolü. Agri. 2012; 24(4): 153-158. doi:10.5505/agri.2012.57704

The role of pericranial muscles in the succesful management of episodic tension type headache

Abstract

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