Our study projects evidence of zygomaticotemporal neuroma as a triggering source of the ECCH. Surgical exploration and resection of this subject may cure in long term the ECCH. It may eradicate puzzling questions and treatments, saving a life, easing the psycho-social and financial burden on individual patients and society
The procedure is very simple and easy in the hand of an experienced surgeon. No need for the reconstructive procedure. A pathologic examination of resected minimal suspected tissue is imperative and may increase clinical confidence of the goal.
Eligibility:
Ages Eligible for Study: 20 Years to 70 Years
Genders Eligible for Study: Both
Accepts Healthy Volunteers: No
Inclusion Criteria:
Age: 20-70 years
Ability to distinguish Cluster Headaches attacks as discrete from other headaches (i.e., tension-headache, migraine HA)
Ability to read, comprehend, and legibly and reliably record information
Ability to provide written, informed consent, and respond to pre and post-treatment questionnaires
Already on abortive and other off-label medications and psychedelics.
Exclusion Criteria:
Uncontrollable malignant hypertension
History of stroke, TIA, or epilepsy
History of a brain aneurysm, implantation of Neurostimulation, trigeminal tractotomy, Neurectomy
Hypersensitivity, or contraindications to Lidocaine.
Contraindication : None