Micro-surgical decompression for greater occipital neuralgia

Li, Fuyong; Ma, Yi; Zou, Jian-jun; Li, Yanfeng; Wang, Bin; Huang, Haitao; Wang, Quancai; Li, Liang

doi:10.5137/1019-5149.jtn.5234-11.1

Cited by 13 publications

(22 citation statements)

References 3 publications

(4 reference statements)

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“…Treatment of ON may consist of oral medications, local anesthetic blocks, botulinum toxin [ 8 ], pulsed radiofrequency neuromodulation [ 9 ], radiofrequency ablation [ 10 ], cryoablation, peripheral nerve stimulation [ 11 ], or surgical decompression [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Occipital Neuralgia after Hair Transplantation and Its Treatment

Siefferman¹,

Khelemsky

2015

Case Reports in Neurological Medicine

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While undergoing full thickness tissue harvest from the posterior scalp, a 72-year-old man experienced immediate severe pain in the right occiput and was unable to complete the procedure. The pain was constant “sharp” and “shocking” with numbness in the distribution of the lesser occipital nerve, exacerbated by physical activity, and local anesthetic blocks provided temporary complete relief. After numerous treatments over several years, including oral analgesics, botulinum toxin injections, and acupuncture, proved ineffective, pulsed radiofrequency neuromodulation provided greater than 80% relief for 5 months.

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Section: Discussionmentioning

confidence: 99%

Occipital Neuralgia after Hair Transplantation and Its Treatment

Siefferman¹,

Khelemsky

2015

Case Reports in Neurological Medicine

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“…All occipital neuralgia patients in the current research reported the presence of very severe pain. The occipital neuralgia is described as very intense, extremely intense or even unbearable pain 5,9,19,20 . Because of the paroxystic nature of pain in occipital neuralgia, such a symptom is much more intense than pain in migraine and tension-type headache patients.…”

Section: Very Intense Painmentioning

confidence: 99%

“…The cause of cervicogenic pain is a nerve entrapment between the trapezius muscle, obliquus capitis inferior muscle or semispinalis capitis muscle 25 . Greater Occipital Nerve compression by close proximity of the muscle tendon membrane and/or the swelling lymph node and/or the occipital artery in the peripheral course of the nerve may be an important mechanism causing pain and other occipital neuralgia symptoms 9 . It has been reported that entrapment of Greater Occipital Nerve causes occipital neuralgia and neurolysis of this nerve, particularly with regard to the trapezius aponeurosis is highly recommended 26 .…”

Section: Mechanism Of Neuropathic Symptomsmentioning

confidence: 99%

“…A frequent mechanism in occipital neuralgia is sustained muscle activity in the cervical region, or entrapment of the C2 root or dorsal root ganglion by paravertebral ligamentous structures 8 . Greater Occipital Nerve compression and/or prolonged irritation by a nerve-vessel contact 9 , is a mechanism in occipital neuralgia and recommend the use of Greater Occipital Nerve decompression to relief intense pain. Occipital neuralgia is also associated with a myriad of symptoms in an anatomic area innervated by the trigeminal nerve, including the teeth.…”

Section: Introductionmentioning

confidence: 99%

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Occipital neuralgia as a true neuropathic pain: clinical and neurophysiological evidence

Molina¹,

Rank²,

Simião³

et al. 2014

RNC

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Rev Neurocienc 2013;21(v):p-p original 242 RESUMOObjetivo. Avaliar a frequência de sintomas neuropáticos em indivíduos com neuralgia occipital, enxaqueca e dor de cabeça por tensão muscular e discutir os mecanismos da neuralgia occipital. Método. Critérios para essas dores de cabeça, distúrbios craniomandibulares e bruxismo, exame clinico, e questionários foram usados em 153 pacientes com distúrbios craniomandibulares e bruxismo. Resultados. As idades médias nos grupos foram 37,3±11,7 anos nos pacientes com neuralgia occipital, 36,5±11,8 anos nos pacientes com enxaqueca e 33,0±12,3 anos nos pacientes com dor de cabeça por tensão muscular. As freqüências de dor tipo choque elétrico, dor em pontada, dormência, dor intensa, uma descrição de queimação, uma zona geradora da dor e dor intermitente foram de 54,3%, 77,1%, 34,3%, 100%, 68,6%, 100% e 57,1% respectivamente, nos pacientes com neuralgia occipital; 6,3%, 18,8%, 0%, 100%, 12,5%, 0% e 0%, respectivamente nos pacientes com enxaqueca, 0%, 17.6%, 0%, 18,6%, 0,9%, 0% e 0%, respectivamente nos pacientes com dor de cabeça por tensão muscular. A frequência da maioria dos sintomas neuropáticos esteve presente entre os pacientes com neuralgia mais do que entre os com dor de cabeça por tensão muscular. Conclusões. Os sintomas neuropáticos diferenciam neuralgia occipital de enxaqueca comum e de dor de cabeça por tensão muscular. A dor muito intensa é mais frequente nos pacientes com neuralgia occipital e enxaqueca, mas não se observa frequentemente nos indivíduos com dor de cabeça por tensão muscular. Unitermos. Dor, Neuralgia, Cefaléia comum, Cefaléia Tensional.Citação. Molina OF, Rank RCI, Simião BRH, Torres SMP, Sobreiro MA, Cury SE, Aquilino RN. Neuralgia occipital como uma dor neuropática verdadeira: evidência clínica e neurofisiológica. ABSTRACTObjective. Assess frequency of neuropathic symptoms in occipital neuralgia, migraine and tension-type headache, and discuss mechanism in occipital neuralgia. Method. Criteria for occipital neuralgia, migraine, tension-type headache, craniomandibular disorders, bruxing behavior, clinical examination, and questionnaires were used. Results. Mean ages are 37.3±1.7 years in occipital neuralgia patients, 36.5±11.8 years in migraine patients, and 33.0±12.3 years in tensiontype headache patients. Frequencies of electric shock-like, stabbing or shooting pain, numbness, very intense pain, a burning description, a pain generating zone and intermittent descriptions were 54.3%, 77.1%, 34.3%, 100%, 68.6%, 100%, and 57.1%, respectively in occipital neuralgia patients, 6.3%, 18.8%, 0%, 100%, 12.5%, 0%, and 0%, respectively, in migraine patients; 0%, 17.6%, 0%, 18.6%, 0.9%, 0% and 0%, respectively, in tension-type headache patients. Comparing neuropathic symptoms between occipital neuralgia and migraine, and between occipital and tension-type headache, neuropathic symptoms were present almost exclusively in occipital neuralgia patients. Conclusions. Neuropathic symptoms differentiate occipital neuralgia from migraine and from tension-type head...

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“…Though occipital neuralgia is mostly of idiopathic origin or due to speculative entrapment of the GON at various points in its course,[ 1 ] structural causes affecting the GON include degenerative disease of the C1–C2 facet joints,[ 3 4 ] compression by lymph nodes[ 5 ] or vessels,[ 5 6 ] trauma to upper cervical spine[ 7 ] and direct injury to the nerve. [ 8 9 ] The tumorous affliction of the GON as a cause of the occipital neuralgia is decidedly rare.…”

mentioning

confidence: 99%