Greater Occipital Neuralgia can Cause Facial Paraesthesias

Evans, Randolph W.

doi:10.1111/j.1468-2982.2008.01795_1.x

Cited by 6 publications

(4 citation statements)

References 5 publications

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“…Based upon a single case report, 2 trigeminal neuralgia is incorrectly listed as a disorder that responded to a greater occipital nerve block, but Weatherall actually diagnosed his patient as having idiopathic trigeminal neuropathy. Evans challenged the diagnosis and opined instead that the patient had greater occipital neuralgia associated with facial paresthesias 3 . Based upon this single case report, I do not believe that either trigeminal neuralgia or idiopathic trigeminal neuropathy should be listed as possibly responsive to a greater occipital nerve block.…”

mentioning

confidence: 90%

Peripheral Nerve Blocks and Trigger Point Injections in Headache Management: Trigeminal Neuralgia Does Not Respond to Occipital Nerve Block

Evans

2010

Headache

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Ankle-Brachial Index in Migraineursh ead_1702 1215..1221To the editor:We read the article by Jurno et al 1 with great interest. Authors conducted a significant reduction of ankle-brachial index (ABI) in migraineurs. 1 As compared with our data of ABI in migraineurs on physical check-up, we would like to comment on conclusions of Jurno et al.Oscillometric ABI was measured in 123 migraineurs (22 with aura [MA] and 101 without aura [MO]) and 118 controls. Female ratio was 80% in both groups. Mean age (SD) was 42.1 (8.4) years in migraineurs and 42.7 (9.5) years in controls. Cardiovascular disease (CVD) risk profile of migraineurs suggested 6 subjects in hypertension, 3 in diabetes mellitus, 13 in dyslipidemia, 18 in current smoking, and 14 in obesity. Only 1 woman with MO had ABI values lower than 0.9. Her age was 29 years and no CVD risk factors existed. Mean ABI (SD) was 1.05 (0.06) in migraineurs and 1.06 (0.07) in controls. There were no significant differences of ABI values between among 4 groups of migraine, MA, MO sufferers and controls on multivariate logistic regression analysis adjusted by age, sex, and several CVD risk factors. Jurno et al 1 disclosed mean ABI (SD) of 0.94 (0.11) in 50 migraineurs and 0.99 (0.09) in 38 controls. ABI values <0.9 was found in 24 migraineurs (48%) and 7 controls (18%). Using logistical regression, odds ratio of ABI <0.9 was 3.9 in the migraine group. We would like to know the age and CVD risk profile in migraineurs and controls with decreased ABI. Arterial pressure was obtained with an ultrasonic Doppler device whereas we measured oscillometric ABI. As compared with oscillometric ABI, sensitivity and specificity of Doppler ABI (<0.9) were higher. 2 Mean age was 42.1 (8.4) years in our migraineurs and 36 (9.9) years of participants in the study of Jurno et al. 1 Methodological differences of ABI measurement and age of migraineurs may lead to diverse results between 2 studies. Authors provide the possibility that existence of migraine contributes to lower ABI. 1 Age distribution of migraineurs is suggested to peak from 20 to 50 years of age. Finally, long-term monitoring of ABI is needed whether atherosclerotic changes influence abnormal ABI in young or midlife migraineurs. We speculate that ABI abnormalities could play a crucial role in the dysregulation of vascular reactions in a part of migraineurs, rather than CVD risk or peripheral obstructive arterial disease.

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confidence: 90%

Peripheral Nerve Blocks and Trigger Point Injections in Headache Management: Trigeminal Neuralgia Does Not Respond to Occipital Nerve Block

Evans

2010

Headache

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“…Paresthesias of the ipsilateral forehead and cheek can occur. The referred pain and paresthesias outside the distribution of the greater occipital nerve may be due to convergence of the C2 afferents, which supply the greater occipital nerve and trigeminal afferents on second‐order neurons within the trigeminocervical complex …”

Section: Expert Commentarymentioning

confidence: 99%

“…The referred pain and paresthesias outside the distribution of the greater occipital nerve may be due to convergence of the C2 afferents, which supply the greater occipital nerve and trigeminal afferents on second-order neurons within the trigeminocervical complex. 7 The pressure around her right eye is best explained by right greater occipital neuralgia because digital pressure over the nerve reproduced the pain, occipital nerve block relieved the pain, and there was no intracranial, paranasal sinus, or ophthalmological pathology to explain the pain.…”

Section: Expert Commentarymentioning

confidence: 99%

Pourfour du Petit Syndrome Associated With Right Eye Pressure

2017

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“…El dolor basal es frecuente, en ocasiones con remisiones espontáneas, y son comunes también las exacerbaciones de mayor intensidad (Sjaastad et al, 2009). Rara vez son necesarias actitudes más agresivas, como el uso de un estimulador (Amin et al, 2008;Asensio-Samper et al, 2008) Evans, 2009). Más adelante entraremos en detalle en este tema, pero alguna de estas descripciones podría interpretarse a la luz de los conocimientos actuales, como una epicránea fugax (EF).…”

Section: Neuralgia Supraorbitariaunclassified

Epicránea fugax: propuesta de criterios diagnósticos de una cefalea emergente a partir del análisis de una serie de 59 pacientes

Peral¹,

Ángel²

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Greater Occipital Neuralgia can Cause Facial Paraesthesias

Cited by 6 publications

References 5 publications

Peripheral Nerve Blocks and Trigger Point Injections in Headache Management: Trigeminal Neuralgia Does Not Respond to Occipital Nerve Block

Peripheral Nerve Blocks and Trigger Point Injections in Headache Management: Trigeminal Neuralgia Does Not Respond to Occipital Nerve Block

Pourfour du Petit Syndrome Associated With Right Eye Pressure

Epicránea fugax: propuesta de criterios diagnósticos de una cefalea emergente a partir del análisis de una serie de 59 pacientes

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