scholarly journals Greater occipital nerve blockade in migraine, tension-type headache and cervicogenic headache

2002 ◽  
Vol 3 (3) ◽  
pp. 137-141 ◽  
Author(s):  
Tansel Terzi ◽  
Bašak Karakurum ◽  
Serap Üçler ◽  
Levent E. İnan ◽  
Cankat Tulunay
Keyword(s):  
Cervicogenic Headache ◽  
Tension Type Headache ◽  
Nerve Blockade ◽  
Occipital Nerve ◽  
Greater Occipital Nerve ◽  
Type Headache

scholarly journals POSITION OF CONTROLLED NAVIGATION PARANEURAL BLOCKADES OF ROPIVACAINE IN THE TREATMENT OF TENSION HEADACHES

2017 ◽  
Vol 11 (2) ◽  
pp. 106-111
Author(s):  
A. V Sgibnev ◽  
Vadim I. Ershov
Keyword(s):  
Local Anesthetic ◽  
Treatment Efficacy ◽  
Tension Type Headache ◽  
Nerve Blockade ◽  
Occipital Nerve ◽  
Neurotic Disorders ◽  
Greater Occipital Nerve ◽  
Tension Headaches ◽  
Type Headache ◽  
Time Of Admission

Control: The article describes the experience of the application of a local anesthetic for ropivokaina paraneural navigation-controlled blockades great occipital nerve in tension headaches. OBJECTIVE: To evaluate the efficacy of navigation-controlled blockades in patients with tension-type headache. Materials and Methods: 87 patients were divided into two groups, were included in isledovanie. One of which received standard therapy in the treatment of the second group used the navigation-controlled large occipital nerve blockade. Treatment efficacy was assessed by the degree of intensity of pain during the treatment, the level of alarm occurrence dissomnicheskie violations, the level of life of patients with tension-type headache was assessed on the index influence headache HIT - 6 at the time of admission and 3 months after completion of therapy. Results and Conclusion: The findings suggest that the use of navigation-controlled paraneural greater occipital nerve blockade with local anesthetic ropivacaine as part of combination therapy of headache voltage leads to significantly better regression of pain and reduce the severity of secondary neurotic disorders.

Greater Occipital Nerve Block is Ineffective in Chronic Tension Type Headache

Cephalalgia ◽  
2005 ◽  
Vol 25 (9) ◽  
pp. 704-708 ◽  
Author(s):  
E Leinisch-Dahlke ◽  
T Jürgens ◽  
U Bogdahn ◽  
W Jakob ◽  
A May
Keyword(s):  
Primary Headache ◽  
Spinal Nerve ◽  
Tension Type Headache ◽  
Serious Adverse Events ◽  
Occipital Nerve ◽  
Chronic Tension Type Headache ◽  
Greater Occipital Nerve Block ◽  
Greater Occipital Nerve ◽  
Neurophysiological Studies ◽  
Type Headache

Patients with primary headache syndromes often describe a pain distribution, that does not respect the trigeminal innervation of the head. In addition to pain in frontal areas, innervated by the first (ophthalmic) division of the trigeminal nerve, the pain often occurs in occipital parts of the head, innervated by the greater occipital nerve, a branch of the C2 spinal nerve root. Anatomical and neurophysiological studies in animals suggest a convergence of cervical and trigeminal input in the trigeminal nucleus caudalis. Modulation of this pathway has been discussed to be of potential benefit in headache disorders. We investigated in an open pilot study the effect of bilateral block of the greater occipital nerve with 50 mg prilocaine and 4 mg dexamethasone in patients with chronic tension type headache. From 15 patients, only one patient described a headache relief after initial exacerbation of headache for 2 days. Headache intensity was unchanged in 11 patients. In further three patients, the headache worsened in the first hours or days after injection. No serious adverse events were observed. One patient showed a bradycardia (36/min) after the first injection during palpation of the muscles of the neck. Three patients suffered pain on the injection site for a few days. Our results indicate that block of the greater occipital nerve is not effective in the treatment of chronic tension type headache. If at all, rather a ‘pro-nociceptive’ effect was observed.

Headache and the Cervical Spine: A Critical Review

Cephalalgia ◽  
1997 ◽  
Vol 17 (8) ◽  
pp. 801-816 ◽  
Author(s):  
W Pöllmann ◽  
M Keidel ◽  
V Pfaffenrath
Keyword(s):  
Cervical Spine ◽  
Critical Review ◽  
Primary Headache ◽  
Cervicogenic Headache ◽  
Tension Type Headache ◽  
Differential Diagnoses ◽  
Primary Headaches ◽  
Unilateral Headache ◽  
Greater Occipital Nerve ◽  
Type Headache

Headache related to the cervical spine is often misdiagnosed and treated inadequately because of confusing and varying terminology. Primary headaches such as tension-type headache and migraine are incorrectly categorized as “cervicogenic” merely because of their occipital localization. Cervicogenic headache as described by Sjaastad presents as a unilateral headache of fluctuating intensity increased by movement of the head and typically radiates from occipital to frontal regions. Definition, pathophysiology, differential diagnoses and therapy of cervicogenic headache are demonstrated. Ipsilateral blockades of the C2 root and/or greater occipital nerve allow a differentiation between cervicogenic headache and primary headache syndromes such as migraine or tension-type headache. Neither pharmacological nor surgical or chiropractic procedures lead to a significant improvement or remission of cervicogenic headache. Pains of various anatomical regions possibly join into a common anatomical pathway, then present as cervicogenic headache, which should therefore be understood as a homogeneous but also unspecific pattern of reaction.

scholarly journals Greater occipital nerve blockade in cervicogenic headache

1998 ◽  
Vol 56 (4) ◽  
pp. 720-725 ◽  
Author(s):  
MAURICE B. VINCENT ◽  
RENATO A. LUNA ◽  
DENISE SCANDIUZZI ◽  
SÉRGIO A. P NOVIS
Keyword(s):  
Sensory Input ◽  
Cervicogenic Headache ◽  
Nerve Blockade ◽  
Occipital Nerve ◽  
Common Disorder ◽  
Greater Occipital Nerve

Cervicocogenic headache (CeH) is a relatively common disorder. Although no 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 the blockade. The improvement is less marked during the first two days, a phenomenon we called "tilde pattern". GON blockades may reduce the pool of exaggerated sensory input and antagonize a putative "wind-up-like effect" which may explain the headache improvement.

Manual therapies for pain relief in patients with headache

2015 ◽  
Vol 23 (1) ◽  
pp. 89-96
Author(s):  
Débora Wanderley ◽  
Andrea Lemos ◽  
Larissa de Andrade Carvalho ◽  
Daniella Araújo de Oliveira
Keyword(s):  
Treatment Effect ◽  
Cervicogenic Headache ◽  
Allocation Concealment ◽  
Tension Type Headache ◽  
Manual Therapies ◽  
Osteopathic Manipulation ◽  
Intention To Treat ◽  
Headache Relief ◽  
Type Headache ◽  
Treat Analysis

Objective. This systematic review aimed to assess the efficacy of manual therapies for headache relief. Method. A systematic search in MEDLINE, LILACS, Cochrane, CINAHL, Scopus and Web of Sci­ence databases was conducted for randomized and quasi-randomized trials, with no restrictions for language or year of publication. The de­scriptors were ‘Headache’, ‘Headache disorders’ and ‘Musculoskeletal manipulations’, in addition to the keyword ‘Manual therapy’ and its equivalents in Portuguese. We included studies that compared mas­sage, chiropractic manipulation, osteopathic manipulation and other spinal manipulation to groups with no intervention, other physiother­apeutic modalities or to a sham group. Results. Seven of the 567 ar­ticles initially screened were selected, including patients with tension type headache, cervicogenic headache or migraine. It was not possible to assess the magnitude of the treatment effect on the findings of this review. The main limitations were the absence of randomization and adequate allocation concealment, the lack of blinded evaluators and intention-to-treat analysis and inadequate statistical analysis. Conclu­sions. We were unable to determine the size of the treatment effect due to the selective description of findings. Owing to the high risk of bias in the articles included, the available evidence regarding the ef­ficacy of manual therapies for headache relief is insufficient.

scholarly journals Occipital neuroma triggered cluster headache responding to greater occipital nerve blockade

2008 ◽  
Vol 66 (1) ◽  
pp. 74-76 ◽  
Author(s):  
Fabrizio Di Stani ◽  
Elcio Juliato Piovesan ◽  
Lorena Scattoni ◽  
Gianluca Bruti ◽  
Lineu Cesar Werneck
Keyword(s):  
Cluster Headache ◽  
Nerve Blockade ◽  
Occipital Nerve ◽  
Greater Occipital Nerve
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