Headache management for the pain specialist

Ashkenazi, Avi; Silberstein, Stephen D.

doi:10.1016/j.rapm.2004.05.008

Cited by 9 publications

(6 citation statements)

References 70 publications

(67 reference statements)

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“…It is also not clear if it shares a similar mechanism of action to other reported blocks. Nevertheless, headaches have been treated with peripheral nerve blocks for decades and 25 greater occipital nerve blocks, facet blocks, third occipital nerve blocks, sympathetic nerve blockade for cluster headaches and the lower cervical injection described in this paper all place anesthetic deep into tissues on the back of the neck. And, in multiple small case series evidence of headache relief greater than what can be attributed to a placebo effect alone have been reported 26–31 .…”

Section: Commentsmentioning

confidence: 99%

Treatment of Headaches in the ED With Lower Cervical Intramuscular Bupivacaine Injections: A 1‐Year Retrospective Review of 417 Patients

Mellick¹,

McIlrath²,

Mellick³

2006

Headache

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Section: Commentsmentioning

confidence: 99%

Treatment of Headaches in the ED With Lower Cervical Intramuscular Bupivacaine Injections: A 1‐Year Retrospective Review of 417 Patients

Mellick¹,

McIlrath²,

Mellick³

2006

Headache

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“…In contrast to our finding, patients have co-existing diseases, and the anesthetic and adjuvant drugs administered [ N -methyl-d-aspartate (NMDA) receptors] contribute to the occurrence of postoperative headache. 45 , 46 …”

Section: Discussionmentioning

confidence: 99%

Incidence and Associated Factors of Postoperative Undesirable Anesthetic Outcomes Among Surgical Patients at Referral Hospitals in Amhara Region, Ethiopia: A Multi-Center Study

Admassie¹,

Admass²,

Melesse³

2023

PROM

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Background Patients undergoing surgery frequently experience unfavorable anesthetic outcomes. They may have an impact on body systems and result in more serious postoperative morbidities. This study was conducted to determine the incidence of postoperative undesirable anesthetic outcomes among surgical patients at referral hospitals in Amhara region, Ethiopia. Methods A total of 412 patients, who underwent surgical procedures between August 1 and October 30 of 2022, were included in this study. The Leiden Perioperative Care Patient Satisfaction Questionnaire’s (LPPSq) dimension “discomfort and needs” was used to collect data on the first postoperative day. Data entry and analysis were performed using SPSS version 20. To assess how risk factors affected the outcome variable, logistic regression analysis was utilized. In multivariable logistic regression analysis, a variable with a P-value of less than 0.05 was statistically considered as significant. Results The proportion of those who had “at least a little bit” of unfavorable outcomes was calculated to estimate their overall prevalence, and the prevalence of those who had “more than moderate” levels of unfavorable outcomes was determined to appreciate how severe these outcomes were. The percentages of postoperative pain, the most common undesired result, for “at least a little bit” and “more than moderate” were 87.7% and 32.3%, respectively. In this study, postoperative cold was the least prevalent (51.4%) undesirable anesthetic outcome. The remaining undesirable postoperative outcomes were reported less frequently. Conclusion and Recommendation Undesirable postoperative anesthetic outcomes were still common. The most frequent unfavorable result was postoperative pain. Adequate postoperative patient follow-up and quality service are paramount.

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“…Headache is classified into primary and secondary headache. Primary headache is classified into migraine, cluster headache, and tension-type headache, and secondary headache is classified into vascular, neoplastic, infectious, metabolic, and toxic disorders [1]. However, it is difficult to differentiate secondary from primary headache, and often people mistake secondary headache for primary headache based on incidence.…”

Section: Discussionmentioning

confidence: 99%

“…Cervicogenic headache is a secondary form of headache mainly characterized by pain unilaterally referred to the fronto-temporal or possibly the supraorbital area [1]. Most cervicogenic headaches are derived from the cervical facet joint, posterior neck muscles, greater or third occipital nerve.…”

mentioning

confidence: 99%

Cervicogenic headache arising from hidden metastasis to cervical lymph node adjacent to the superficial cervical plexus -A case report-

Kim

Park

et al. 2011

Korean J Anesthesiol

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The differential diagnosis of headache is often difficult because the symptom of headache is overlapping. Superficial cervical plexus block is useful in diagnosis and treatment of headache. Headache arising from the neck and radiating to the frontotemporal regions and possibly to the supraorbital region has been defined as cervicogenic headache. A positive response to anesthetic blocks is one of the diagnostic criteria of cervicogenic headache. We experienced a case of headache arising from direct lymph node metastasis of hepatocellular carcinoma adjacent to the superficial cervical plexus during treatment of cervicogenic headache under ultrasonographic guidance. Especially in patients with medical history of cancer, practitioners should consider the possibility of metastasis to cervical lymph nodes and using ultrasonography to evaluate the cervical area prior to the practice.

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Headache management for the pain specialist

Cited by 9 publications

References 70 publications

Treatment of Headaches in the ED With Lower Cervical Intramuscular Bupivacaine Injections: A 1‐Year Retrospective Review of 417 Patients

Treatment of Headaches in the ED With Lower Cervical Intramuscular Bupivacaine Injections: A 1‐Year Retrospective Review of 417 Patients

Incidence and Associated Factors of Postoperative Undesirable Anesthetic Outcomes Among Surgical Patients at Referral Hospitals in Amhara Region, Ethiopia: A Multi-Center Study

Cervicogenic headache arising from hidden metastasis to cervical lymph node adjacent to the superficial cervical plexus -A case report-

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