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Journal articles on the topic 'Occipital Nerve Block'

Author: Grafiati

Published: 3 June 2025

Last updated: 31 July 2025

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1

Kim, Eugene, and Giovanni Cucchiaro. "Occipital Nerve Blocks for Relief of Headaches in Patients With Ventriculoperitoneal Shunts: A Case Series." Journal of Child Neurology 34, no. 11 (2019): 674–78. http://dx.doi.org/10.1177/0883073819853079.

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Pediatric patients with ventriculoperitoneal shunts commonly present with headaches. We report 7 children with ventriculoperitoneal shunts and occipital headaches who received occipital nerve blocks. Eighty-six percent of patients had a history of at least 1 ventriculoperitoneal shunt revision. Headaches improved in every patient after the block. Two patients (29%) were symptom free 11 and 12 months after the block. Four patients (57%) required repeat occipital nerve blocks. Two underwent pulsed radiofrequency ablation. No complications were noted. When patients with ventriculoperitoneal shunt

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Hidayati, Hanik Badriyah, Vania Ayu Puspamaniar, Alexander Tikara Sugondo, and Fajar Sena Firdausa. "Ultrasound-guided third occipital nerve (TON) blocks." Anaesthesia, Pain & Intensive Care 28, no. 1 (2024): 166–70. http://dx.doi.org/10.35975/apic.v28i1.2390.

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Peripheral nerve blocks, including occipital nerve blocks (ONBs), have received increased attention and support as pain management tools during the previous few decades. Researchers have documented usefulness of ONBs particularly for acute headache management in the outpatient setting. The blocks also play a role in other healthcare settings, such as in the emergency department. The potential role of ONBs for the management of acute headache episodes in primary and emergency care settings is not yet fully practiced. In this paper, we will review block techniques of third occipital nerve (TON):

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Inan, Levent Ertugrul, Nurten Inan, Hanzade Aybuke Unal-Artık, Ceyla Atac, and Gulcin Babaoglu. "Greater occipital nerve block in migraine prophylaxis: Narrative review." Cephalalgia 39, no. 7 (2019): 908–20. http://dx.doi.org/10.1177/0333102418821669.

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Objectives The importance and popularity of peripheral nerve block procedures have increased in the treatment of migraine. Greater occipital nerve (GON) block is a commonly used peripheral nerve block method, and there are numerous researches on its use in migraine treatment. Materials and methods A search of PubMed for English-language randomized controlled trials (RCT) and open studies on greater occipital nerve block between 1995 and 2018 was performed using greater occipital nerve, headache, and migraine as keywords. Results In total, 242 potentially relevant PubMed studies were found. A s

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4

Lee, Annelise Akemi Higa, and Renan Barros Domingues. "The effectiveness and safety of cranial nerve block in migraine: a critical review." Headache Medicine 14, no. 1 (2023): 7–12. http://dx.doi.org/10.48208/headachemed.2023.3.

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Cranial nerve blocks (CNBs) have been used for the acute and preventive treatment of a variety of headaches, including migraine. The effectiveness of CNBs in migraine is usually observed beyond the duration of the nerve block, possibly due to central pain modulation. The most used target is the greater occipital nerve. Other commonly targeted nerves are the lesser occipital nerve and various branches of the trigeminal nerve, including the supratrochlear, supraorbital, and auriculotemporal nerves. CNBs are generally safe and well-tolerated procedures that can be performed in either emergency or

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Siahaan, Yusak Mangara Tua. "The role of occipital nerve block with ultrasound guidance in occipital neuralgia cases." Romanian Journal of Neurology 21, no. 1 (2022): 22–27. http://dx.doi.org/10.37897/rjn.2022.1.4.

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Introduction. Occipital neuralgia (ON) is a well-known cause of headache that affecting the posterior head at the occipital nerve(s) distribution. It is a multiple-factor clinical condition resulting from the pathology of the greater, lesser or third occipital nerve. Interventional therapy, such as occipital nerve block (ONB), is one of the various modalities that could be normally considered when the conservative wasn’t satisfying. Besides as effective treatment, ONB also used as an important diagnostic procedure for occipital neuralgia. Content. Currently, there is no a complete consensus am

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César, Alcântara Ramos de Assis, Igor Dal Pozzo da Costa, Wesley Gabriel Novaes Botelho, Nicole Sperafico, Anderson Dillmann Groto, and André Carvalho Felício. "Postural physiotherapy for cervicogenic headache after occipital nerve block: a retrospective study." Research, Society and Development 10, no. 12 (2021): e165101219994. http://dx.doi.org/10.33448/rsd-v10i12.19994.

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Cervicogenic headache has a complex and poorly understood pathophysiology. Symptoms are typical and involve the C2 and C3 nerve roots. There are no specific recommendations for physical therapy, although occipital nerve block is a known pharmacological treatment. Some evidence suggests that hip rotation correction could aid in reducing cervical pain symptoms. The objective of this work is to evaluated the role of postural physiotherapy for hip rotation correction using the Maitland technique in patients with cervicogenic headache who underwent an occipital nerve block. In this retrospective, o

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Mallikarjuna, Swathi, Priyanka Gupta, Ashutosh Tiwari, and Mritunjai Kumar. "Zygomaticotemporal nerve and auriculotemporal nerve block: a vicious cycle breaker for cluster headache pain." Nepal Journal of Neuroscience 21, no. 4 (2024): 48–49. https://doi.org/10.3126/njn.v21i4.67036.

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Nerve blocks are the reasonable choice for cluster headache and other nerve associated pain. Blocks used in cluster headache included in literature are Occipital nerve block and Sphenopalatine ganglion block. To our knowledge, the effectiveness of zygomaticotemporal nerve and auriculotemporal nerve block with bupivacaine for the treatment of cluster headache has not been reported. Here we present a case report of 74-year-old male with cluster headache nonresponsive to oxygen therapy, subcutaneous sumatriptan, zolmitriptan spray and other medications. Patient got relieved by the zygomaticotempo

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File, Christopher, Xiang Fang, Rowaid Ahmad, et al. "Efficacy of Nerve Blocks for Managing Refractory Posttraumatic Headaches." Pain Physician Journal 28, no. 2 (2025): 137–45. https://doi.org/10.36076/ppj.2025.28.137.

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BACKGROUND: Nerve blocks (greater occipital, lesser occipital, others) are commonly used, singly or in combination, to treat various forms of refractory headaches, including migraine and cervicogenic headaches. Their efficacy in treating posttraumatic headaches, however, particularly those unresponsive to medications or severely disabling, is not well documented. OBJECTIVES: To characterize the efficacy of nerve blocks in the treatment of posttraumatic headaches. STUDY DESIGN: Retrospective chart review. SETTING: A single-specialty outpatient neurology clinic. METHODS: Patients from January 20

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Yılmaz, Mehmet. "Local Anesthesia Systemic Toxicity After Greater Occipital Nerve + Third Occipital Nerve Block." Kocaeli Medical Journal 13, no. 3 (2024): 224–26. https://doi.org/10.5505/ktd.2024.01069.

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10

BAHADIR, Sinan. "Can exostoses of the external occipital protuberance and superior nuchal lines cause headache? A report of two cases." Neurology Asia 28, no. 2 (2023): 449–53. http://dx.doi.org/10.54029/2023jwm.

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Compression of the occipital nerves can cause occipital headache. Several potential compression points have been identified along their course. One of these points is the hitherto undescribed instance of exostoses of anatomic structures of the occipital bone. A 34-year-old man with a prominent external occipital tuberance and superior nuchal lines complained of headache in the area of distribution of the greater occipital nerve with tenderness near the bony protrusion on palpation. A 44-year old woman experienced stabbing pain in the lateral orbital region with pressure on the ossified inserti

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Barua, Sunil Malla Bujar, Anjali Mishra, Kamal Kishore, et al. "Effect of Preoperative Nerve Block on Postthyroidectomy Headache and Cervical Pain: A Randomized Prospective Study." Journal of Thyroid Research 2016 (2016): 1–6. http://dx.doi.org/10.1155/2016/9785849.

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The aim of the current study was to investigate the efficacy of greater occipital nerve (GON) block and bilateral superficial cervical plexuses (BSCP) blocks in alleviating postoperative occipital headache and posterior neck pain after thyroidectomy. This randomized prospective study consisted of 75 women undergoing total thyroidectomy. Patients were randomized into three groups: Group I (n=25): patients receiving GON, Group II (n=25): patients receiving bilateral (BSCP) blocks, and Group III (n=25): patients receiving no block. Assessment of occipital headache, posterior neck, and incision si

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JANCIN, BRUCE. "Cluster Headache? Try Occipital Nerve Block." Clinical Neurology News 8, no. 11 (2012): 20. https://doi.org/10.1016/s1553-3212(12)70205-4.

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13

Eichenberger, Urs, Manfred Greher, Stephan Kapral, et al. "Sonographic Visualization and Ultrasound-guided Block of the Third Occipital Nerve." Anesthesiology 104, no. 2 (2006): 303–8. http://dx.doi.org/10.1097/00000542-200602000-00016.

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Background Chronic neck pain after whiplash injury is caused by cervical zygapophysial joints in 50% of patients. Diagnostic blocks of nerves supplying the joints are performed using fluoroscopy. The authors' hypothesis was that the third occipital nerve can be visualized and blocked with use of an ultrasound-guided technique. Methods In 14 volunteers, the authors placed a needle ultrasound-guided to the third occipital nerve on both sides of the neck. They punctured caudal and perpendicular to the 14-MHz transducer. In 11 volunteers, 0.9 ml of either local anesthetic or normal saline was appl

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Abdelrazik, Rehab A., Heba F. Toulan, and Sabah Naguib Barsoom Ayoub. "Sphenopalatine ganglion block vs greater occipital nerve block in the management of post dural puncture headache in obstetric patients: a randomized clinical trial." Anaesthesia, Pain & Intensive Care 28, no. 1 (2024): 68–73. http://dx.doi.org/10.35975/apic.v28i1.2143.

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Background: With the increased popularity of spinal anesthesia for a variety of surgeries, the anesthesiologists have to face the increased incidence of post dural puncture headache (PDPH). It is especially cumbersome to the obstetric patients. A variety of management techniques have been used. We compared the efficacy of sphenopalatine ganglion block (SPGB) versus greater occipital nerve block (GONB) for the management of PDPH in obstetric cases. Methodology: This prospective, randomized trial, enrolled 120 PDPH cases into two groups. The SPGB group received bilateral SPGB with a 3 ml m

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Pincherle, Alessandro, and Serge Bolyn. "Cerebellar syndrome after occipital nerve block: A case report." Cephalalgia 40, no. 10 (2020): 1123–26. http://dx.doi.org/10.1177/0333102420929015.

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Background Occipital nerve blocks are commonly used in the treatment of different types of refractory headaches. The procedure is considered safe, and serious complications have rarely been described. Case presentation We report a serious complication of occipital nerve blockade secondary to the penetration of local anesthetic and non-steroidal anti-inflammatory drugs into the posterior fossa in a patient affected by type I Arnold Chiari malformation. Conclusions This case reminds that a proper injection technique is mandatory to avoid potentially severe complications when performing occipital

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Kim, Min-hwa, I.-rang Nam, Mariah Kim, et al. "A Case Report of Occipital Neuralgia Treated with Acupuncture in the Occipital Nerve Area." Journal of Internal Korean Medicine 44, no. 6 (2023): 1327–36. http://dx.doi.org/10.22246/jikm.2023.44.6.1327.

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This case report presents the effectiveness of Korean medicine in the treatment of occipital neuralgia. The patient with occipital neuralgia was treated with acupuncture. Acupuncture treatment was administered to the occipital nerve area, which is commonly used in occipital nerve blocks by western medicine doctors. The severity of the symptoms was assessed daily using the Numerical Rating Scale (NRS) score of pain. The patient received outpatient treatment a total of 7 times, and only received acupuncture treatment each time. According to the patient, his symptoms decreased by about 90% two da

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Peres, MFP, MA Stiles, HC Siow, TD Rozen, WB Young, and SD Silberstein. "Greater Occipital Nerve Blockade for Cluster Headache." Cephalalgia 22, no. 7 (2002): 520–22. http://dx.doi.org/10.1046/j.1468-2982.2002.00410.x.

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Cluster headache is perhaps the most painful of the primary headache disorders. Its treatment includes acute, transitional, and preventive therapy. Despite the availability of many treatments, cluster headache patients can still be difficult to treat. We treated 14 cluster headache patients with greater occipital nerve block as transitional therapy (treatment initiated at the same time as preventive therapy). The mean number of headache-free days was 13.1+23.6. Four patients (28.5%) had a good response, five (35.7%) a moderate, and five (35.7%) no response. The greater occipital nerve block wa

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Bushman, E. T., C. T. Blanchard, G. D. Cozzi, A. M. Davis, and R. G. Sinkey. "Occipital Nerve Block Compared With Acetaminophen and Caffeine for Headache Treatment in Pregnancy." Obstetric Anesthesia Digest 44, no. 2 (2024): 100–101. http://dx.doi.org/10.1097/01.aoa.0001016084.00058.09.

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(Obstet Gynecol. 2023;142:1179–1188) Tension and migraine headaches affect a significant portion of individuals of reproductive age and are a common complaint during pregnancy. Unfortunately, headache treatment during pregnancy can be difficult because of the effect of some treatments on fetal health and a fear of masking secondary headaches that could be related to pregnancy complications such as pre-eclampsia. One treatment that has been established as effective in a nonobstetric population is occipital nerve block, which involves a subcutaneous injection of local anesthetic into the area su

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İnan, Levent Ertuğrul, and Nurten İnan. "Greater Occipital Nerve Block in Migraine Prophylaxis." Turkish Journal Of Neurology 25, no. 4 (2020): 258–59. http://dx.doi.org/10.4274/tnd.2019.94557.

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İnan, Levent Ertuğrul, and Nurten İnan. "Greater Occipital Nerve Block in Migraine Prophylaxis." Turkish Journal Of Neurology 25, no. 4 (2019): 258–59. http://dx.doi.org/10.4274/tnd.galenos.2019.94557.

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Na, Se Hee, Tae Wan Kim, Se-Young Oh, Tae Dong Kweon, Kyung Bong Yoon, and Duck Mi Yoon. "Ultrasonic doppler flowmeter-guided occipital nerve block." Korean Journal of Anesthesiology 59, no. 6 (2010): 394. http://dx.doi.org/10.4097/kjae.2010.59.6.394.

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Katsarakes, Ashley, Ashley Scherer, and Michael Fishman. "ID:16031 Noninvasive Thermal Nerve Block of Occipital Nerves in Patients With Occipital Neuralgia." Neuromodulation: Technology at the Neural Interface 25, no. 4 (2022): S38. http://dx.doi.org/10.1016/j.neurom.2022.02.172.

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Gaelen, Jordan I., Michael R. King, John Hajduk, et al. "Ultrasound-Guided Occipital Nerve Blocks as Part of Multi-Modal Perioperative Analgesia in Pediatric Posterior Craniotomies: A Case Series." Children 10, no. 8 (2023): 1374. http://dx.doi.org/10.3390/children10081374.

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Various regional anesthetics have been used for postoperative analgesia for pediatric craniotomy. In this case series, we report retrospectively collected data on postoperative pain and analgesic use in 44 patients who received ultrasound-guided occipital nerve blocks in addition to intravenous analgesic agents for posterior craniotomy procedures. In the immediate post-anesthesia care unit, pain was rated as zero or well controlled in 77% of patients, with only 43% requiring intravenous or demand patient-controlled analgesia opioids. There were no block-related complications. Occipital nerve b

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Miller, Sarah, Laurence Watkins, and Manjit Matharu. "Predictors of response to occipital nerve stimulation in refractory chronic headache." Cephalalgia 38, no. 7 (2017): 1267–75. http://dx.doi.org/10.1177/0333102417728747.

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Background Occipital nerve stimulation is a promising treatment for refractory chronic headache disorders, but is invasive and costly. Identifying predictors of response would be useful in selecting patients. We present the results of an open-label prospective cohort study of 100 patients (35 chronic migraine, 33 chronic cluster headache, 20 short-lasting unilateral neuralgiform headache attacks and 12 hemicrania continua) undergoing occipital nerve stimulation, using a multivariate binary regression analysis to identify predictors of response. Results Response rate of the cohort was 48%. Mult

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Arai, Takero, Kazuyoshi Ishikawa, Tomoyuki Saito, Yuichi Hashimoto, Takashi Asai, and Yasuhisa Okuda. "Distance from the external occipital protuberance to the occipital artery for occipital nerve block." Journal of Anesthesia 27, no. 5 (2013): 801–2. http://dx.doi.org/10.1007/s00540-013-1587-7.

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Song, Zhanfeng, Shuming Zhao, Jianqing Ma, Zhanyong Wu, and Sidong Yang. "Fluoroscopy-Guided Blockade of the Greater Occipital Nerve in Cadavers: A Comparison of Spread and Nerve Involvement for Different Injectate Volumes." Pain Research and Management 2020 (September 22, 2020): 1–6. http://dx.doi.org/10.1155/2020/8925895.

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Background. Fluoroscopy-guided blockade of the greater occipital nerve (GON) is an accepted method for treating the symptoms of cervicogenic headaches (CGHs). However, the spread patterns among different injectate volumes of fluoroscopy-guided GON blocks are not well defined. Objective. A cadaveric study was established to determine the spread patterns of different volumes of dye injectate within a fluoroscopic GON block. Study Design. Cadaveric study. Setting. Xingtai Institute of Orthopaedics; Orthopaedic Hospital of Xingtai. Methods. 15 formalin-fixed cadavers with intact cervical spines we

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Schwedt, TJ, DW Dodick, TL Trentman, and RS Zimmerman. "Response to Occipital Nerve Block is Not Useful in Predicting Efficacy of Occipital Nerve Stimulation." Cephalalgia 27, no. 3 (2007): 271–74. http://dx.doi.org/10.1111/j.1468-2982.2006.01251.x.

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Occipital nerve stimulation (ONS) may be effective for the treatment of headaches that are recalcitrant to medical therapy. The objective of this study was to determine if response to occipital nerve block (ONB) predicts response to ONS in patients with chronic, medically intractable headaches. We evaluated 15 patients who underwent placement of occipital nerve stimulators for the treatment of chronic headaches. Data were collected regarding analgesic response to ONB and to ONS. Nine of 15 patients were ONS responders (≥50% reduction in headache frequency or severity). Thirteen patients had ON

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Wahezi, Sayed Emal. "Currently Recommended TON Injectate Volumes Concomitantly Block the GON: Clinical Implications for Managing Cervicogenic Headache." Pain Physician 7;19, no. 7;9 (2016): E1079—E1086. http://dx.doi.org/10.36076/ppj/2016.19.e1079.

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Background: Headache (HA) is a significant cause of morbidity globally. Despite many available treatment options, HAs that are refractory to conservative management can be challenging to treat. Third occipital nerve (TON) and greater occipital nerve (GON) irritation are potential etiologic agents of primary and cervicogenic HAs that can be targeted using minimally invasive treatment options such as nerve blocks or radiofrequency ablation. However, a substantial number of patients that undergo radiofrequency ablation do not experience pain relief despite a positive diagnostic medial branch bloc

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Kwun, Jeong-Woo, Young Jin Kim, and Jin-Shup So. "Could a Simple Nerve Block be Considered as a Treatment Option for Occipital Neuralgia with Both Short-Term and Long-Term Effects?" Nerve 7, no. 2 (2021): 31–35. http://dx.doi.org/10.21129/nerve.2021.7.2.31.

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Objective: The study aims to show both the short- and long-term treatment outcome of occipital nerve block (ONB) patients with occipital neuralgia (ON).Methods: Patients who visited our hospital between 2013 and 2020 were reviewed retrospectively. Patients were excluded if the medical records were incomplete, if they had received a cervical operation, if they had a traumatic event prior to the symptom onset, or if the follow-up period was less than 3 months. ONB targeted the greater occipital nerve, the lesser occipital nerve or both. Short term follow-up period was defined as 3 months and lon

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Younis, Aida, Khurram Haq Nawaz, Imran Ahmad, et al. "ROLE OF GREATER OCCIPITAL NERVE BLOCK FOR MIGRAINE PROPHYLAXIS." Insights-Journal of Health and Rehabilitation 3, no. 2 (Health & Allied) (2025): 395–401. https://doi.org/10.71000/g5qqb056.

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Background: Migraine is a chronic, disabling neurological disorder marked by recurring episodes of headache and associated symptoms, significantly affecting patients' quality of life and functional capacity. Despite its global burden, prophylactic treatment remains underutilized, particularly in chronic cases unresponsive to medication. Recent evidence supports peripheral nerve blocks, especially greater occipital nerve (GON) block, as a promising intervention for migraine prevention. Objective: To determine the effectiveness of greater occipital nerve (GON) block in terms of mean reduction in

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Gawel, MJ, and PJ Rothbart. "Occipital Nerve Block in the Management of Headache and Cervical Pain." Cephalalgia 12, no. 1 (1992): 9–13. http://dx.doi.org/10.1046/j.1468-2982.1992.1201009.x.

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The origins of chronic headache and the role of the greater occipital nerve in headache syndromes are reviewed. The anatomical pathways and physiological basis of these headaches are discussed with a view to synthesizing some current concepts of headache generation. Studies of occipital nerve blockade for treatment of headaches of various types are assessed and a retrospective analysis of our own experience is presented.

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Pereira, Lucas, Ricardo Carlos, Albert van Schoor, et al. "Anatomical Studies Evaluating Pediatric Regional Anesthesia: A Scoping Review." Children 11, no. 6 (2024): 733. http://dx.doi.org/10.3390/children11060733.

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Background: Pediatric regional anesthesia has been driven by the gradual rise in the adoption of opioid-sparing strategies and the growing concern over the possible adverse effects of general anesthetics on neurodevelopment. Nonetheless, performing regional anesthesia studies in a pediatric population is challenging and accounts for the scarce evidence. This study aimed to review the scientific foundation of studies in cadavers to assess regional anesthesia techniques in children. Methods: We searched the following databases MEDLINE, EMBASE, and Web of Science. We included anatomical cadaver s

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HARADA, Shuto, Keiya TAKAHASHI, and Keiko MAMIYA. "Ultrasound-Guided Nerve Blocks (5)Practice of Nerve Blocks in Head and Neck Area : Cervical Plexus Block, Stellate Ganglion Block, Greater Occipital Nerve Block." JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA 33, no. 4 (2013): 619–28. http://dx.doi.org/10.2199/jjsca.33.619.

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Christie, Sean D., Nelofar Kureshi, Ian Beauprie, and Renn O. Holness. "Occipital osteomylelitis and epidural abscess after occipital nerve block: A case report." Canadian Journal of Pain 2, no. 1 (2018): 57–61. http://dx.doi.org/10.1080/24740527.2017.1360725.

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Wojtowicz, Alex, Michael Flower, and Savvas Hadjikoutis. "OCCIPITAL NERVE BLOCK: AUDIT OF A DEVELOPING SERVICE." Journal of Neurology, Neurosurgery & Psychiatry 86, no. 11 (2015): e4.178-e4. http://dx.doi.org/10.1136/jnnp-2015-312379.84.

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BackgroundOccipital nerve block (ONB) is an injection of local anaesthetic, often with corticosteroid, given around the greater occipital nerve in primary and secondary headache disorders. Growing local demand and sparse national guidance prompted this audit to aid service design.AimEstablish local demand and efficacy of ONB. We will then consider changes to the service and re- audit.StandardsNo national guidelines available; standards determined through literature review.MethodsRetrospective review of local ONBs for January–August 2014. Data reported by patients (n=17) through standardised qu

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Leinisch-Dahlke, E., T. Jürgens, U. Bogdahn, W. Jakob, and A. May. "Greater Occipital Nerve Block is Ineffective in Chronic Tension Type Headache." Cephalalgia 25, no. 9 (2005): 704–8. http://dx.doi.org/10.1111/j.1468-2982.2004.00941.x.

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Patients with primary headache syndromes often describe a pain distribution, that does not respect the trigeminal innervation of the head. In addition to pain in frontal areas, innervated by the first (ophthalmic) division of the trigeminal nerve, the pain often occurs in occipital parts of the head, innervated by the greater occipital nerve, a branch of the C2 spinal nerve root. Anatomical and neurophysiological studies in animals suggest a convergence of cervical and trigeminal input in the trigeminal nucleus caudalis. Modulation of this pathway has been discussed to be of potential benefit

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Strauss, Lauren, Elizabeth Loder, and Paul Rizzoli. "Transient Facial Nerve Palsy After Occipital Nerve Block: A Case Report." Headache: The Journal of Head and Face Pain 54, no. 10 (2014): 1651–55. http://dx.doi.org/10.1111/head.12403.

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Hidayati, Hanik Badriyah, Dessy Rakhmawati Emril, Ayu Imamatun Nisa, et al. "Efficacy and safety of greater occipital nerve and supraorbital nerve blocks in patients with migraine: Meta-analysis." Journal of Pharmacy & Pharmacognosy Research 13, no. 1 (2025): 163–84. http://dx.doi.org/10.56499/jppres24.1952_13.1.163.

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Context: Migraines, which affect over 10% of the global population and cause disability, prompt the review of the greater occipital nerve (GON) and supraorbital nerve (SON) blocks to minimize systemic effects. Aims: To compare GON, GON+SON block, and SON block in migraine management. Methods: Articles from 2014 to 2022, adhering to PRISMA 2020 guidelines, underwent selection based on inclusion and exclusion criteria. Cochrane RoB 2.0 assessed article quality, Review Manager ver. 5.4.1 was used for statistical analysis. Results: The meta-analysis of 13 randomized controlled trials revealed that

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Juškys, Raimondas, and Gytis Šustickas. "Effectiveness of treatment of occipital neuralgia using the nerve block technique: a prospective analysis of 44 patients." Acta medica Lituanica 25, no. 2 (2018): 53–60. http://dx.doi.org/10.6001/actamedica.v25i2.3757.

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Background. There is a great deal of tools for treatment of occipital neuralgia but currently we are lacking a complete consensus among practitioners regarding the optimal approach to this debilitating condition. Occipital nerve block (ONB) is known as one of the management options but there is lack of scientific literature exploring its effectiveness. Materials and methods. The prospective study was undertaken between March 2014 and February 2018 at the State Vilnius University Hospital. Fortyfour patients aged from 28 to 84 years (age mean = 56.30 ± 14.71) of which 79.55% were female (n = 35

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Turan, Suna Aşkın, Şenay Aydın, and Ezgi Can. "Ultrasound-guided continuous radiofrequency ablation of the proximal greater occipital nerve is effective in refractory occipital neuralgia: a retrospective cohort study." Arquivos de Neuro-Psiquiatria 83, no. 03 (2025): 001–8. https://doi.org/10.1055/s-0045-1806813.

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AbstractPain in occipital neuralgia (ON) originates from the upper cervical nerves converging with the trigeminal complex. Greater occipital nerve (GON) blocks and radiofrequency treatments can be used in refractory ON.To assess the efficacy of ultrasound-guided proximal greater occipital nerve (PGON) continous radiofrequency ablation (CRFA) in ON throughout 1 year.We analyzed data from medical records and headache diaries. Before the intervention and 1, 3, 6, and 12 months after the intervention, at each appointment we evaluated the headache intensity through the 11-point Numeric Rating Scale

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Milhiandana Mitresna Salsabila, H. Andi Husni Tanra, and Muhammad Wirawan Harahap. "Scalp Nerve Block In Reconstructive Craniotomy: A Case Report." International Journal of Medical Science and Health Research 13, no. 1 (2025): 1–7. https://doi.org/10.70070/edjcv167.

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Scalp block is an option in head surgery with certain procedures, namely when patient awareness is required, or techniques that require patient functional assessment and craniotomy. This block is performed on the supra orbital nerve, supra trochlea, zygomaticum temporal, auriculo temporal, auricular major, greater occipital and lesser occipital. We report a case of a 55-year-old man with Mild Traumatic Brain Injury GCS 14 + fracture of the Os Frontalis Sinistra, anterior wall of the Sinus Maxillaris dextra et sinisra and Os Zygomaticum sinistra, simultaneously for reconstructive craniotomy wit

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Freeman, Lindsey, Osmond C. Wu, Jennifer Sweet, Mark Cohen, Gabriel A. Smith, and Jonathan P. Miller. "Facial Sensory Restoration After Trigeminal Sensory Rhizotomy by Collateral Sprouting From the Occipital Nerves." Neurosurgery 86, no. 5 (2019): E436—E441. http://dx.doi.org/10.1093/neuros/nyz306.

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Abstract BACKGROUND AND IMPORTANCE Lesioning procedures are effective for trigeminal neuralgia (TN), but late pain recurrence associated with sensory recovery is common. We report a case of recurrence of type 1A TN and recovery of facial sensory function after trigeminal rhizotomy associated with collateral sprouting from upper cervical spinal nerves. CLINICAL PRESENTATION A 41-yr-old woman presented 2 yr after open left trigeminal sensory rhizotomy for TN with pain-free anesthesia in the entire left trigeminal nerve distribution. Over 18 mo, she developed gradual recovery of facial sensation

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Siswagama, Taufiq Agus, Buyung Hartiyo Laksono, and Mirza Koeshardiandi. "Dextrose Prolotherapy for Occipital Neuralgia Management." Journal of Anaesthesia and Pain 2, no. 3 (2021): 97–104. http://dx.doi.org/10.21776/ub.jap.2021.002.03.02.

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Background: Occipital neuralgia defined as a pain such as being stabbed in the skin according to the dermatomes of the greater occipital nerves (GON) and lesser occipital nerves (LON). Case: An 80-year-old male patient diagnosed with occipital neuralgia. Previously, patients were diagnosed with lung cancer six months ago and planned for follow-up chemotherapy. Patient already receive medications including paracetamol, Non-steroidal anti-inflammatory drugs (NSAIDs), minor tranquilizers, and antidepressants, but the pain still exist. Patient then scheduled to receive blocks of GON and LON-ultras

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Music, Stephen. "Severe Bilateral Glossopharyngeal Neuralgia Managed With Nerve Blocks Following Plasmodium falciparum Malaria Infection Treated With Mefloquine." Pain Medicine Case Reports 8, no. 3 (2024): 119–26. http://dx.doi.org/10.36076/pmcr.2024.8.119.

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BACKGROUND: The Internal Classification of Headache Disorders diagnosis for glossopharyngeal neuralgia (GN) includes recurrent paroxysmal severely painful attacks in the glossopharyngeal nerve distribution. Precipitating factors may be swallowing or talking, and diagnosis is made by exclusion. Conservative management includes medications, such as carbamazepine. For refractory cases, interventional nerve blocks may be required. CASE REPORT: A 38-year-old woman experienced severe bilateral GN and occipital neuralgia with atypical migraines after treatment with mefloquine for severe Plasmodium fa

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Zipfel, Jonathan. "Ultrasound-Guided Intermediate Site Greater Occipital Nerve Infiltration: A Technical Feasibility Study." Pain Physician 7;19, no. 7;9 (2016): E1027—E1034. http://dx.doi.org/10.36076/ppj/2016.19.e1027.

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Background: Two studies recently reported that computed tomography (CT) guided infiltration of the greater occipital nerve at its intermediate site allows a high efficacy rate with long-lasting pain relief following procedure in occipital neuralgia and in various craniofacial pain syndromes. Objective: The purpose of our study was to evaluate the technical feasibility and safety of ultrasound-guided intermediate site greater occipital nerve infiltration. Study Design: Retrospective study. Setting: This study was conducted at the imaging department of a 1,409 bed university hospital. Methods: L

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Sahai-Srivastava, Soma, and Dawood Subhani. "Adverse effect profile of Lidocaine injections for occipital nerve block in occipital neuralgia." Journal of Headache and Pain 11, no. 6 (2010): 519–23. http://dx.doi.org/10.1007/s10194-010-0244-x.

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Salmasi, Vafi, Oludare O. Olatoye, Abdullah Sulieman Terkawi, Jennifer M. Hah, Einar Ottestad, and Matthew Pingree. "Peripheral Nerve Stimulation for Occipital Neuralgia." Pain Medicine 21, Supplement_1 (2020): S13—S17. http://dx.doi.org/10.1093/pm/pnaa083.

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Abstract Background Chronic headaches are the second most prevalent disease and second most common cause for years lived with disability worldwide. Occipital neuralgia can cause headaches or be present in addition to other more prevalent causes of headache. If these headaches fail to respond to conservative and pharmacological therapy, physicians proceed to more invasive treatments, starting with infiltration of the greater occipital nerve with local anesthetic with or without corticosteroids, followed by nerve ablation or stimulation. Occipital nerve stimulation gained more popularity as the

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Eom, Ki Seong. "Greater Occipital Nerve Block by Using Transcranial Doppler Ultrasonography." Pain Physician 4;13, no. 4;7 (2010): 395–400. http://dx.doi.org/10.36076/ppj.2010/13/395.

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Mohammad, Saad, Ng Marilyn, Fitzpatrick Daniel, D. Kaufman, and Alexander Apostol. "Occipital Nerve Block for Surgery on the Posterior Scalp." Open Journal of Anesthesiology 03, no. 01 (2013): 33–34. http://dx.doi.org/10.4236/ojanes.2013.31009.

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&NA;. "USE OF ULTRASOUND DOPPLER FLOWMETER FOR OCCIPITAL NERVE BLOCK." Ultrasound Quarterly 18, no. 4 (2002): 293. http://dx.doi.org/10.1097/00013644-200212000-00013.

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