Cessation of Hemiplegic Migraine Auras With Greater Occipital Nerve Blockade

Rozen, Todd D.

doi:10.1111/j.1526-4610.2007.00828.x

Cited by 26 publications

(25 citation statements)

References 40 publications

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“…GON blockade can alleviate migraine headache as well as aura 12 . Cessation of HPM auras with GON blockade was also reported in 2 patients 13 with rapid response very similar to the response we witnessed in our patient.…”

Section: Discussionsupporting

confidence: 89%

Acute Treatment of Basilar‐Type Migraine With Greater Occipital Nerve Blockade

et al. 2010

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Basilar-type migraine (BTM) precludes use of migraine-specific medications such as triptans and ergots based on concerns originating from the vascular theory of migraine, although data supporting this contraindication are lacking. Availability of effective treatments for acute BTM is limited. We report a case of BTM aborted with greater occipital nerve (GON) blockade given in the setting of prominent suboccipital tenderness. GON blockade may provide an additional option in acute management of BTM. It may be particularly useful when associated with prominent ipsilateral suboccipital tenderness.

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Section: Discussionsupporting

confidence: 89%

Acute Treatment of Basilar‐Type Migraine With Greater Occipital Nerve Blockade

et al. 2010

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“…25 A small study found similar efficacy of early and late treatment with subcutaneous sumatriptan, suggesting that central sensitization is not important for the response to a triptan. 26 Our present results, where a large proportion of patients have prominent migraine features already during the aura, also support the concept that early acute treatments with triptans, TMS, 8 or others [27][28][29] during the aura phase of the attack may result in higher efficacy.…”

supporting

confidence: 74%

Migraine headache is present in the aura phase

et al. 2012

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Objectives: Migraine aura is commonly considered to be a distinct phase of a migraine attack that precedes headache. The objective of the study was to examine a large number of prospectively recorded attacks of migraine with aura and determine the timing of headache and other migraine symptoms relative to aura.Methods: As part of a clinical trial we collected prospective data on the time course of headache and other symptoms relative to the aura. Patients (n 5 267) were enrolled from 16 centers, and asked to keep a headache diary for 1 month (phase I). They were asked to record headache symptoms as soon as possible after aura began and always within 1 hour of aura onset. A total of 456 attacks were reported during phase I by 201 patients. These patients were then randomized and included in phase II, during which a total of 405 attacks were reported in 164 patients. In total, we present data from 861 attacks of migraine with aura from 201 patients.Results: During the aura phase, the majority of attacks (73%) were associated with headache.Other migraine symptoms were also frequently reported during the aura: nausea (51%), photophobia (88%), and photophobia (73%). During the first 15 minutes within the onset of aura, 54% of patients reported headache fulfilling the criteria for migraine. Conclusion:Our results indicate that headaches as well as associated migraine symptoms are present early, during the aura phase of the migraine attack in the majority of patients.

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“…Studies have found GONB to be effective in migraine [9][10][11][12], cluster headache [4,13], posttraumatic headache [14], and in two cases of hemiplegic migraine, or attacks of migraine with unilateral motor symptoms [15,16].…”

Section: Introductionmentioning

confidence: 99%

Blocking the Greater Occipital Nerve: Utility in Headache Management

Young

2010

Curr Pain Headache Rep

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Occipital nerve block has been part of headache medicine for more than half a century, with injection techniques and solutions varying greatly. Most studies have been case series and many show benefit for patients with migraine, cluster headache, and postconcussive headache. A double-blind, controlled trial of cluster headache has demonstrated that injectable steroids with local anesthetics benefit cluster headache patients. A double-blind, controlled trial of nerve blocks in occipital neuralgia, which may have actually been chronic migraine, was positive.

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Cessation of Hemiplegic Migraine Auras With Greater Occipital Nerve Blockade

Cited by 26 publications

References 40 publications

Acute Treatment of Basilar‐Type Migraine With Greater Occipital Nerve Blockade

Acute Treatment of Basilar‐Type Migraine With Greater Occipital Nerve Blockade

Migraine headache is present in the aura phase

Blocking the Greater Occipital Nerve: Utility in Headache Management

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