Outcomes of Greater Occipital Nerve Injections in Pediatric Patients With Chronic Primary Headache Disorders

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Expert opinion: greater occipital nerve and other anesthetic injections for primary headache disorders.

In his 1948 headache book, Harold Wolff described 3 types of occipital neuralgia.“The first and most common is characterized by a long-lasting (day, weeks, or months), more or less sustained aching of low or moderate intensity. It is commonly bilateral but may be unilateral. It is associated with stiffness of the muscles of the neck, tender points, often with muscle nodules, and with head tilti...

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Greater occipital nerve blockade in cervicogenic headache.

Cervicocogenic headache (CeH) is a relatively common disorder. Although on ideal treatment is available so far, blockades in different structures and nerves may be temporarily effective. We studied the effects of 1-2 mL 0.5% bupivacaine injection at the ipsilateral greater occipital nerve (GON) in 41 CeH patients. The pain is significantly reduced both immediately and as long as 7 days after th...

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Greater occipital nerve blockade for cluster headache.

Cluster headache is perhaps the most painful of the primary headache disorders. Its treatment includes acute, transitional, and preventive therapy. Despite the availability of many treatments, cluster headache patients can still be difficult to treat. We treated 14 cluster headache patients with greater occipital nerve block as transitional therapy (treatment initiated at the same time as preve...

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Long-term outcome in occipital nerve stimulation patients with medically intractable primary headache disorders.

INTRODUCTION €‚ Occipital nerve stimulation (ONS) may provide relief for refractory headache disorders. However, scant data exist regarding long-€term ONS outcomes. METHODS €‚ The methods used were retrospective review of the medical records of all (nonindustry study) patients who were trialed and implanted with occipital nerve stimulator systems at our institution, followed by a phone inter...

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Ultrasound-guided greater occipital nerve block for patients with occipital headache and short term follow up

BACKGROUND The greater occipital nerve (GON) block has been frequently used for different types of headache, but performed with rough estimates of anatomic landmarks. Our study presents the values of the anatomic parameters and estimates the effectiveness of the ultrasound-guided GON blockade. METHODS The GON was detected using ultrasound technique and distance from external occipital protube...

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ژورنال

عنوان ژورنال: Pediatric Neurology

سال: 2014

ISSN: 0887-8994

DOI: 10.1016/j.pediatrneurol.2013.09.008