scholarly journals Ultrasound guided bilateral greater occipital nerve block for treatment of postdural puncture headache

2014 ◽  
Vol 42 (1) ◽  
pp. 40-42 ◽  
Author(s):  
Fethi Akyol ◽  
Orhan Binici ◽  
Mahmut Cakir
Keyword(s):  
Nerve Block ◽  
Postdural Puncture Headache ◽  
Ultrasound Guided ◽  
Occipital Nerve ◽  
Greater Occipital Nerve Block ◽  
Greater Occipital Nerve ◽  
Occipital Nerve Block

Clinical Efficacy of an Ultrasound-Guided Greater Occipital Nerve Block at the Level of C2

2017 ◽  
Vol 42 (1) ◽  
pp. 99-104 ◽  
Author(s):  
Matthew J. Pingree ◽  
Joshua S. Sole ◽  
Travis G. Oʼ Brien ◽  
Jason S. Eldrige ◽  
Susan M. Moeschler
Keyword(s):  
Nerve Block ◽  
Clinical Efficacy ◽  
Ultrasound Guided ◽  
Occipital Nerve ◽  
Greater Occipital Nerve Block ◽  
Greater Occipital Nerve ◽  
Occipital Nerve Block

scholarly journals Efficacy of greater occipital nerve block for pain relief in patients with postdural puncture headache

Medicine ◽  
2021 ◽  
Vol 100 (51) ◽  
pp. e28438
Author(s):  
Ying-Jen Chang ◽  
Kuo-Chuan Hung ◽  
I-Wen Chen ◽  
Chi-Lin Kuo ◽  
I-Chia Teng ◽  
...  
Keyword(s):  
Pain Relief ◽  
Nerve Block ◽  
Postdural Puncture Headache ◽  
Occipital Nerve ◽  
Greater Occipital Nerve Block ◽  
Greater Occipital Nerve ◽  
Occipital Nerve Block

scholarly journals Ultrasound-Guided Greater Occipital Nerve Block: An Efficient Technique in Chronic Refractory Migraine Without Aura?

2015 ◽  
Vol 2;18 (2;3) ◽  
pp. 153-162 ◽  
Author(s):  
Deniz Palamar
Keyword(s):  
Placebo Group ◽  
Treatment Group ◽  
Nerve Block ◽  
Pain Intensity Score ◽  
Ultrasound Guided ◽  
Occipital Nerve ◽  
Greater Occipital Nerve Block ◽  
Greater Occipital Nerve ◽  
Average Pain ◽  
Occipital Nerve Block

Background: The effectiveness of greater occipital nerve block (GONB) in patients with primary headache syndromes is controversial. Few studies have been evaluated the usefulness of GONB in patients with migraine without aura (MWOA). Objective: To compare the effectiveness of ultrasound-guided GONB using bupivacaine 0.5% and placebo on clinical improvement in patients with refractory MWOA in a randomized, doubleblinded clinical trial. Study Design: A prospective, randomized, placebo-controlled, double-blind pilot trial. Setting: Physical medicine and rehabilitation and neurology departments of a University Hospital. Methods: Thirty-two patients with a diagnosis of MWOA according to the International Classification of Headache Disorders-II criteria were included in the study. Twenty-three patients (2 men, 21 women) completed the study. They were randomly assigned to receive either GONB with local anesthetic (bupivacaine 0.5% 1.5 mL) or greater occipital nerve (GON) injection with normal saline (0.9% 1.5 mL). Ultrasound-guided GONB was performed to more accurately locate the nerve. All procedures were performed using a 7 – 13 MHz high-resolution linear ultrasound transducer. The treatment group was comprised of 11 patients and the placebo group was comprised of 12 patients. The primary outcome measure was the change in the headache severity score during the one-month post-intervention period. Headache severity was assessed with a visual analogue scale (VAS) from 0 (no pain) to 10 (intense pain). Results: In both groups, a decrease in headache intensity on the injection side was observed during the first post-injection week and continued until the second week. After the second week, the improvement continued in the treatment group, and the VAS score reached 0.97 at the end of the fourth week. In the placebo group after the second week, the VAS values increased again and nearly reached the pre-injection levels. The decrease in the monthly average pain intensity score on the injected side was statistically significant in the treatment group (P = 0.003), but not in the placebo group (P = 0.110). No statistically significant difference in the monthly average pain intensity score was observed on the uninjected side in either group (treatment group, P = 0.994; placebo group, P = 0.987). No serious side effect was observed after the treatment in either group. Only one patient had a self-limited vaso-vagal syncope during the procedure. Limitations: This trial included a relatively small sample. This may have been the result of the inclusion of only those patients who correctly completed their pain diaries. Another major limitation is the short follow-up duration. Patients were followed for one month after the injection, thus relatively long-term effects of the injection have not been observed. Conclusions: Ultrasound guided GONB with 1.5 mL of 0.5% bupivacaine for the treatment of migraine patients is a safe, simple, and effective technique without severe adverse effects. To increase the effectiveness of the injection, and to implement the isolated GONB, ultrasonography guidance could be suggested. Key words: Migraine, greater occipital nerve, occipital nerve block, ultrasound-guided

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