Headache and the greater occipital nerve

Anthony, Michael

doi:10.1016/0303-8467(92)90177-5

Cited by 174 publications

(136 citation statements)

References 6 publications

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“…A retrospective study of 184 patients with occipital neuralgia showed long-lasting improvement after GON steroid injections with a mean of 31 days of relief. 8 Other studies have supported the efficacy of this technique. Cervicogenic headache is also defined in the International Classification of Headache Disorders, 2nd Edition.…”

Section: Greater Occipital Nerve Blockmentioning

confidence: 87%

Nerve Blocks in the Treatment of Headache

Levin¹

2010

Neurotherapeutics

130

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Summary: Nerve blocks and neurostimulation are reasonable therapeutic options in patients with head and neck neuralgias. In addition, these peripheral nerve procedures can also be effective in primary headache disorders, such as migraine and cluster headaches. Nerve blocks for headaches are generally accomplished by using small subcutaneous injections of amide-type local anesthetics, such as lidocaine and bupivicaine. Targets include the greater occipital nerve, lesser occipital nerve, auriculotemporal nerve, supratrochlear and supraorbital nerves, sphenopalatine ganglion, cervical spinal roots, and facet joints of the upper cervical spine. Although definitive studies examining the usefulness of nerve blocks are lacking, reports suggest that this area deserves further attention in the hope of acquiring evidence of effectiveness.

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Section: Greater Occipital Nerve Blockmentioning

confidence: 87%

Nerve Blocks in the Treatment of Headache

Levin¹

2010

Neurotherapeutics

130

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“…The major studies are summarized in Table 1 ( [51][52][53][54][55][56][57][58][59][60][61][62]. Unfortunately, there are very few controlled trials and no standardized methods were used for the selection of migraine patients (some had fixed unilateral headache, others not), the timing of infiltrations (ictal or interictal), the technique of infiltrations or blocks (unilateral or bilateral, association with blocks of other pericranial nerves or trigger point injections, one or more interventions), the compounds used for the blocks (local anesthetics alone or combined with different types and dosages of steroids) and particularly the evaluation of outcomes (number of headache-free days, variable percentage reduction of headache days or attacks, non-uniformly standardized pain indices).…”

Section: Infiltrations/blocks Of Pericranial Nervesmentioning

confidence: 99%

Targeting pericranial nerve branches to treat migraine: Current approaches and perspectives

et al. 2015

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Background: Migraine is a highly prevalent neurological disorders and a major individual and societal burden. Migraine is not curable at the present time, but it is amenable to acute symptomatic and preventive pharmacotherapies. Summary: Since the latter are frequently unsatisfactory, other treatment strategies have been used or are being explored. In particular, interventions targeting pericranial nerves are now part of the migraine armamentarium. We will critically review some of them, such as invasive and noninvasive neurostimulation, therapeutic blocks and surgical decompressions. Conclusions: Although current knowledge on migraine pathophysiology suggests a central nervous system dysfunction, there is some evidence that interventions targeting peripheral nerves are able to modulate neuronal circuits involved in pain control and that they could be useful in some selected patients. Larger, well-designed and comparative trials are needed to appraise the respective advantages, disadvantages and indications of most interventions discussed here.

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“…Although the effectiveness and diagnostic value of GON blockade in CH patients has been well known, it has not been clarified whether or not it is a diagnostic tool for CH, since there have been few reports in this regard. Only a few reports exist about the value and effectiveness in patients with MWOA and TTH [10,[15][16][17]. Bovim and Sand studied the therapeutic blockade of GON and supraorbital nerve blockade in CH, MWOA and TTH [10].…”

Section: Discussionmentioning

confidence: 99%