What dose/duration of corticosteroids do you use for patients with intractable episodic cluster headaches?
1 Answer
Mednet MemberInvited Expert
Neurology · Barrow Neurological Institute
Answered on
Best evidence for oral steroids from a large randomized controlled trial: Prednisone 100 mg for 5 days, then taper by 20 mg every 3 days until off (the largest study available). Obermann et al., PMID 33245858
Occipital nerve block: In addition to oral steroids, there is also evidence of the occipital nerve with steroids. Exactly what steroid dosing has varied largely. Here are some examples:
- Three suboccipital injections (48-72 h apart) of cortivazol 3·75 mg: Leroux et al., PMID 21903477
- GONB wit...
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