Baş Ağrısı Cerrahisi


Posted on 13 November 2017

Introductıon To Subject:

*The headache, which is the subject of the topic, defines unknown headaches, ie, primary headaches.

The surgical treatment method to be described for this reason should not be named separately.

“Tension Headache Surgery”

“Migraine Surgery”

“Cluster Headache Surgery”

It is not right to separate three different groubs.

This surgical technique is effective in the treatment of all three headaches when both the mode of administration and the targeted tissues are taken into account.

In this state, “Migraine Surgery” leaves at the beginning.

It is  best to describe this surgical technique orginally as “Primer Headache Surgery”.

Primer headaches are diagnosed as high as 90% among all headaches.

Common features of these diseases, called Primer Headache; unknown reasons inability to diagnose with objective examinations, and the absence of treatment in the form of cure.

Primer Headache is the most common and most well known by the community as follows:

1- Migraine and Migraine subgroups,

2- Tension Headache,

3- Cluster Headache (Cluster Headache).

Although there is no clear definition to distinguishe these  three diseases, classification is attempted through abstract definitions, since the causes of the three is unknown.

A classification study was undertaken considering the duration of the pain, the frequency, the head area it started and affected, and the other complaints accompanying the pain.

However, as in any classification of abstract concepts, these three diseases are often confused with each other. It is not uncommon for all three headaches to be diagnosed in the same patient.

Here is the “Headache Surgery” which is new to the treatment options for these headaches.

There is one more common point of these three diseases that we have mentioned above and whose cause, diagnosis and treatment are unknown:

Frequent confuses  with other diseases that cause headache. I mean, it’s not diagnostic. With a clearer word, “False Diagnosis” rates are high.

Before proceeding to surgical treatment, Tension, Migraine and Cluster headaches should be drawn with a thick line underneath the application of these surgical interventions in patients with “absolute and undisputed” diagnoses,



Especially in recent years, the “Migraine Surgery”, which is widespread, can be put into the class of “Headache Surgery”.

The detail about “Migraine Surgery”, which is usually applied by aesthetic surgeons, is out of position for now.

Headache Surgery:

Headache surgery is not a brain surgery.

Let’s compare the healthy branches of our lives with the perfect branches with lush green leaves.

Here Primer Headache is a structure is like a mocking poison ivy. It takes our health step by step from us, just like the damage caused by the snarling. It affects our appearance and comfort in life. And it can threaten our lives without not so rarely.

We will continue to identify migraines, their siblings, Tension and Cluster headaches, taking into account the practices and outcomes for the treatment of headaches.

Drug treatments; until this day were only able to infest the leaves of this poisonous ivy. But they were far from hindering the leaves to come out again. Dealing with single leaves requires constant effort and side effects as well as it needs a high effort not to lift the blossom.

The second method of struggle is to block the pain with botox and local anesthetic applications. These practices, which are more effective than the struggle with the leaves, have a drying effect on the branches of the poison ivy. However, this successful effect can not prevent the branches from becoming bushy and leafy after a while.

The surgical technique “Migraine Surgery”,which is popular in recent years, has been very promising at the beginning. Migraine Surgery aims to cut the branches of the limb one by one . The more branches the limb gives, the more effort and time it takes to reach and cut each limb. During this process permanent impairments also occur in the appearance of the tree. And sometimes the ivy re-sprouts from the branches.

As you have seen and guessed it must be directed to the roots of the fuss to remove the problem.

This new surgical technique we call “Headache Surgery” is applied directly to the roots of pain.

This surgery’s name is “Selective Endoscopic Ganglion & Nerve Ablation”. In short, by choosing the initial letters: “SEGNA Surgery” is called.

Meaning; It can be explained as selective removal of nerve terminals and fibers due to headache and accompanying complaints and removal by micro endoscopic approach which is a closed surgical method.

All studies in primary headache have been associated with nerve terminals intervened with SEGNA and some specific nerve fibers.

These structures are not only responsible for the pain we feel. They are also linked by small fibers to nerves and terminals that provide visual acuity, increase heart rate, cause irritation, sweating, and regulate many other body functions. They are in contact

whith each other.

This communication causes more noticable complaints rether than headache. Such as light sensitivity, odor sensitivity,visual effects,eye blushing, swearing and, etc.

This terminal and nerve fibers selected as target in SEGNA surgery have not been found new

In fact, the relationship between these centers and their primary headache known for many years.

Local anesthetics, anti-depressant drug injections and BOTOX applications at these centers have removed Migraine, Tension and Cluster headaches from tens of thousands of patients with very high success.

Currently, Botox and Cortisone and local anesthetic drug mixtures are still successfully applied in selective centers in the treatment of dePrimer headaches.

These applications have two notable drawbacks.

1- The application provides temporary healing. The longest state of well-being is 3 months. In some patients the effect is ended within two weeks and one month.

2- Injection has a risk to injury of surrounding tissues even when performed in the presence of external imaging such as Ultrasound or Fleuroscopy, peripheral nerve fibers contain vital risks due to injuries caused by injury, may have unpleasant side effects such as, injury may have to surrounding vessels and organs. And these risks are rarely confronted. The need to apply this 4 times a year, probably , improves the risk ratio and the incidence of side effects due to medications used

Headache Surgery SEGNA  removes both of the risks

In the SEGNA method, the surgeon performs the operation by observing the region and the surrounding tissue completely. This visualization provides comfort to surgeon in working on the terminals and nerve fibers related to headache. The surrounding nerve fibers and tissues, which should not be harmed, are protected by retraction (excision).

SEGNA surgery has a permanent block feature, not a temporary one. Relevant centers are disposed  permanently.

For this entire surgical procedure, a single or maximum  two skin insicions of one or two centimeters is sufficient.

For this reason, it is possible for the patient to return to normal daily life, including sports activities after a 24-hours hospitalization.

After SEGNA surgery not many long or much incisions such as in “Migraine Relief Surgery”

SEGNA is not only for migraine but also a very effective treatment in the treatment of tension and cluster headaches.


Assoc.Prof.Dr.Bilgehan Bilge


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Tags: cluster headache, Headache Surgery, migraine headache, migraine surgery, tension headache, tension surgery