The effect of greater occipital nerve blockade on the quality of life, disability and comorbid depression, anxiety, and sleep disturbance in patients with chronic migraine

Ulusoy, Ersin Kasım; Bolattürk, Ömer Faruk

doi:10.1007/s10072-020-04286-9

Cited by 14 publications

(16 citation statements)

References 29 publications

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“…Thirteen open-label studies 29,[32][33][34][35][36][37][38][39][40][41][42][43] and 10 placebo-controlled trials [44][45][46][47][48][49][50][51][52][53] were read in detail. Of these, nine open-label studies 29,[34][35][36][38][39][40][41]43 and four placebo-controlled studies [47][48][49][50] were found suitable for the present review meeting the inclusion and exclusion criteria. Four open-label 32,33,37,42 and six placebo-controlled studies [44][45][46][51][52][53] that were excluded for efficacy and safety analysis have been briefly described separately (Appendix 1) to highlight the reasons for their exclusion.…”

Section: Resultsmentioning

confidence: 99%

“…Both the authors independently read the titles and the abstracts and excluded the articles which prima facie did not address our review question regarding the efficacy and safety of the GON block in CM. Thirteen open-label studies 29,32 –43 and 10 placebo-controlled trials 44 –53 were read in detail. Of these, nine open-label studies 29,34 –36,38 –41,43 and four placebo-controlled studies 47 –50 were found suitable for the present review meeting the inclusion and exclusion criteria.…”

Section: Resultsmentioning

confidence: 99%

“…Although not considered useful for a true assessment of efficacy because of biases, uncontrolled open-label studies often pave the way for the proper conduct of RCTs if some beneficial effects are observed and the hypothesis is generated. Salient features of nine open-label studies 29,34 –36,38 –41,43 that have been included in this review are outlined in Table 1. These are briefly discussed below.…”

Section: Resultsmentioning

confidence: 99%

“…Ulusoy and Bolattürk did a prospective cross-sectional study to determine the effect of GON block on the quality of life, disability and comorbid depression, anxiety, and sleep disturbance in 84 patients with CM. 43 GON block was administered weekly for 3 weeks, and then monthly for the following 2 months. The VAS and HIT-6 scores were significantly reduced after GON block treatment.…”

Section: Namentioning

confidence: 99%

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Role of greater occipital nerve block for preventive treatment of chronic migraine: A critical review

Chowdhury

Mundra

2020

Cephalalgia Reports

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Objective: The aim of this study is to critically analyze the evidence of the efficacy and safety of greater occipital nerve (GON) block for the preventive treatment of chronic migraine (CM). Background: A rigorous scientific assessment of efficacy and safety of the GON block for preventive treatment in CM is not available. This critical review was undertaken for this purpose. Methods: References for this review were identified by searches of articles published in the English language in PubMed between 1969 and April 15, 2020 using “greater occipital nerve block,” “chronic migraine,” “migraine,” “headache,” and “treatment” as keywords. Results: Out of potential 532 articles, 9 open-label and 4 placebo-controlled trials that studied the role of GON block for prevention of CM were identified and reviewed. Open-label trials reported a reduction of headache severity and frequency in 35–68% of patients. The beneficial effect of a single block lasted up to 4 weeks. Randomized controlled trials (RCTs) used varied methodology and techniques of GON block and the outcomes were reported at different time points. A single RCT showed a beneficial effect of the GON block at 1 week. However, the GON block was found to be safe and well tolerated. Conclusion: Long-term efficacy of GON block in CM shall need further well-designed RCTs using standardized methodology. This study, in addition, reviewed the limitations and uncertainties regarding the technique and methods of use of GON block in CM.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Namentioning

confidence: 99%

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Role of greater occipital nerve block for preventive treatment of chronic migraine: A critical review

Chowdhury

Mundra

2020

Cephalalgia Reports

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“… 88 , 89 GONB treatment may be initially considered if comorbidities such as stress, depression and sleep disturbance are high in CM patients with few treatment options. 88 …”

Section: Evaluation Of Sleep Quality After Treatment Of Chronic Migrainementioning

confidence: 99%

Current Perspectives on the Impact of Chronic Migraine on Sleep Quality: A Literature Review

Saçmacı¹,

Tanık²,

İnan³

2022

NSS

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Objective Recent studies have shown that sleep problems occur in migraineurs and poor sleep causes chronification, but the mechanisms by which chronic migraine affects sleep quality are still unknown. This review aims to analyze commonly reported sleep disturbances in chronic migraine (CM) and determine the effect of CM on sleep quality. Materials and Methods We conducted a comprehensive review of all published articles on CM and sleep quality from inception to March 2022 in the literature. Clinical trials, observational studies, and case series (≥20 cases) were included. Two reviewers and a supervisor reviewed the titles and abstracts of all search results with predefined inclusion and exclusion criteria. PubMed search for randomized controlled trials and open studies on CM and sleep quality reported in English between 1983 and 2022 was conducted using the keywords including chronic migraine, sleep, insomnia, sleep quality, polysomnography, and Pittsburgh Sleep Quality Index. Results A total of 535 potentially relevant articles were found. A total of 455 articles and reviews, meta-analyses published in any language other than English, with other exclusion criteria, were excluded from the review. In the remaining articles, 36 clinical studies, reviewing sleep quality and its association with migraine, were identified and reviewed. Evidence from this review shows that poor sleep and migraine chronicity are intertwined with other accompanying comorbidities and dysregulation of circadian rhythm that innovative treatments promise to bring relief to both poor sleep as well as migraine. Conclusion Sleep disorders are common in CM and the association between migraine chronification and sleep quality is bidirectional. Comorbid conditions with accompanying frequent attacks in migraine may impair sleep quality. While the maladaptive pain process worsens sleep, poor sleep quality also negatively affects migraine pain. Sleep disturbance, which is affected by worsening migraine attacks, causes deterioration in the quality of life, loss of workforce, and economic burden.

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Review of craniofacial pain syndromes involving the greater occipital nerve: relevant anatomy, clinical findings, and interventional management

Fabry,

Nedunchelian,

Stacoffe

et al. 2023

Neuroradiology

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The effect of greater occipital nerve blockade on the quality of life, disability and comorbid depression, anxiety, and sleep disturbance in patients with chronic migraine

Cited by 14 publications

References 29 publications

Role of greater occipital nerve block for preventive treatment of chronic migraine: A critical review

Role of greater occipital nerve block for preventive treatment of chronic migraine: A critical review

Current Perspectives on the Impact of Chronic Migraine on Sleep Quality: A Literature Review

Review of craniofacial pain syndromes involving the greater occipital nerve: relevant anatomy, clinical findings, and interventional management

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