Response of Cervicogenic Headaches and Occipital Neuralgia to Radiofrequency Ablation of the C2 Dorsal Root Ganglion and/or Third Occipital Nerve

2014 ◽  
Vol 54 (3) ◽  
pp. 500-510 ◽  
Author(s):  
John F. Hamer ◽  
Traci A. Purath
Pain Practice ◽  
2020 ◽  
Vol 20 (7) ◽  
pp. 780-786
Author(s):  
Kenneth B. Chapman ◽  
Frank Schirripa ◽  
Tariq Yousef ◽  
Jeffrey Deygoo ◽  
Noud Helmond

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Tiffany Vu ◽  
Akhil Chhatre

This report describes a case of bilateral greater occipital neuralgia treated with cooled radiofrequency ablation. The case is considered in relation to a review of greater occipital neuralgia, continuous thermal and pulsed radiofrequency ablation, and current medical literature on cooled radiofrequency ablation. In this case, a 35-year-old female with a 2.5-year history of chronic suboccipital bilateral headaches, described as constant, burning, and pulsating pain that started at the suboccipital region and radiated into her vertex. She was diagnosed with bilateral greater occipital neuralgia. She underwent cooled radiofrequency ablation of bilateral greater occipital nerves with minimal side effects and 75% pain reduction. Cooled radiofrequency ablation of the greater occipital nerve in challenging cases is an alternative to pulsed and continuous RFA to alleviate pain with less side effects and potential for long-term efficacy.


PM&R ◽  
2012 ◽  
Vol 4 ◽  
pp. S330-S330
Author(s):  
Robert Kent ◽  
Rafael Miguel ◽  
Sandip Patel ◽  
Mauna Radahd

Cephalalgia ◽  
2015 ◽  
Vol 35 (13) ◽  
pp. 1208-1213 ◽  
Author(s):  
Jennifer L Beams ◽  
Matthew T Kline ◽  
Todd D Rozen

Objective The objective of this research is to describe novel procedural treatments for hemicrania continua that allow patients to remain off indomethacin. Methods Case reports are presented. Results We describe four distinct patients with indomethacin-responsive hemicrania continua who were unable to discontinue the use of indomethacin without headache recurrence. No other medications were effective for their syndrome. Secondary causes of headache were ruled out in each case. Each patient underwent diagnostic blockade of either the atlanto-axial joint, C2 dorsal root ganglion or sphenopalantine ganglion depending on their clinical examination and presence of cranial autonomic symptoms. A positive response led to a radiofrequency ablation of the C2 ventral ramus, C2 dorsal root ganglion or sphenopalantine ganglion, which provided headache relief in all case patients as complete as indomethacin. Long-term follow-up of these patients has shown that all have remained essentially headache free without the need for indomethacin. One patient has needed repeat radiofrequency procedures with consistent response. Conclusion Hemicrania continua is defined by its sensitivity to indomethacin but very few patients are able to discontinue the medication without headache recurrence. As the risks of chronic indomethacin use are substantial, alternative treatments are necessary to protect patient health. We are now able to suggest several radiofrequency ablation procedures as effective as indomethacin with long-term follow-up.


Pain Practice ◽  
2008 ◽  
Vol 8 (3) ◽  
pp. 202-205 ◽  
Author(s):  
David Abejón ◽  
Rocio Ortego ◽  
Rocio Solís ◽  
Neri Alaoui ◽  
Javier del Saz ◽  
...  

2019 ◽  
Vol 40 (8) ◽  
pp. 1433-1436
Author(s):  
J.L. Chazen ◽  
E.J. Ebani ◽  
M. Virk ◽  
J.F. Talbott ◽  
V. Shah

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