Effect of Cervical Sympathetic Ganglion Block in Management of Atypical Facial Pain

Atypical facial pain is diagnosed when clinical features do not fulfill any of the available diagnostic criteria, and it is known to be a sympathetically mediated pain. Therefore, cervical sympathetic ganglion block is effective in the management of pain. A middle-aged female with features of migraine headache on treatment for a considerable duration without significant pain relief, considered it as atypical facial pain. Cervical sympathetic ganglion block was performed which gave significant pain relief. Since the block gave temporary pain relief, to provide a long-term relief pulsed radiofrequency (PRF) neuromodulation of cervical sympathetic ganglion was performed. Cervical sympathetic ganglion block is an effective intervention for atypical facial pain which provides diagnosis and temporary pain relief. Pulsed radiofrequency (PRF) neuromodulation of the ganglion provides long-term relief.