Abstract
Cluster Headache (CH) is a unilateral headache with episodes of excruciating pain and neurovegetative symptoms. Refractory cases were approached by many therapeutical means, but results were unconclusive (1). Occipital nerve stimulation (ON) is effective, but benefits are obtained in the long term (2,3,4). Sphenopalatine (SP) stimulation is short term effective (5,6) and abortive (7) for CH attacks. Both techniques were published (8,9), and only have achieved Level B of evidence (10). We perform combined stimulation to get the advantages of both methods.
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