Case: Our patient is a 46-year-old female patient. Our patient applied to our clinic for headache that did not go away for 10 years. Meningioma was detected in the contrast-enhanced brain MRI of the neurosurgery clinic he went to last time (4.5 years ago) and he was operated on.
However, despite this operation, our patient’s headaches did not go away. Recurrent meningiomas started to be seen in millimetric sizes in the MRIs of our patient, which was 6 months after the operation. When our patient applied to us, his VAS was 9-10. First of all, we performed Greater-lesser occipital block and supra-orbital infra-orbital trochlear nerve block for our patient. Our patient’s pain immediately regressed to VAS 5-6. Then, after 15 days, the VAS was 3-4 in the control. We did the same blocks again to our patient and requested a contrast-enhanced brain MRI, and we also asked for the MRI taken at the latest neurosurgery control, and we said we wanted to compare it. With these, the VAS was 1-2 at the control 15 days later. In the control MR; In the previous neurosurgery control, we observed that the meningioma residues in the ischree MRI disappeared.
Conclusion: Here, we see that interventional blocks have a very important role in the treatment of headache. Again, we think that these image changes in this control MRI are due to vasodilation and oxygen increase in the damaged area due to sympathetic blockade in interventional blocks.
