Greater Occipital Nerve and Lesser Occipital Nerve Blocks

2019 ◽  
pp. 27-34
Author(s):  
Ugur Uygunoglu ◽  
Aksel Siva
Keyword(s):  
Nerve Blocks ◽  
Occipital Nerve ◽  
Greater Occipital Nerve

scholarly journals Sphenopalatine Ganglion versus Greater Occipital Nerve Blocks in Treating Post-Dural Puncture Headache after Spinal Anesthesia for Cesarean Section: A Randomized Clinical Trial

2021 ◽  
pp. E443-E451
Keyword(s):  
Cesarean Section ◽  
Dural Puncture ◽  
Sphenopalatine Ganglion ◽  
Ganglion Block ◽  
Nerve Blocks ◽  
Neck Stiffness ◽  
Post Dural Puncture Headache ◽  
Occipital Nerve ◽  
Greater Occipital Nerve ◽  
Blood Patch

BACKGROUND: Despite being invasive, with serious complications, epidural blood patch (EBP) is still considered the gold standard therapy for Post Dural Puncture Headache (PDPH). The use of Peripheral nerve blocks for PDPH are studied here. OBJECTIVES: To investigate the efficacy of sphenopalatine ganglion block (SPGB) and greater occipital nerve block (GONB) to relieve PDPH and its associated symptoms. STUDY DESIGN: Randomized comparative single-blind trial. SETTING: A University hospital. METHODS: Patients who received spinal anesthesia for elective cesarean section, and then developed PDPH during hospitalization or within 5 days after dural puncture were enrolled to receive GONB (n = 47) or SPGB (n = 46) for treatment of PDPH. GONB Group: Patients received bilateral GONB using 3 mL mixture of 2 mL lidocaine 2% plus 1 mL dexamethasone 4 mg on each side of occipital region. SPGB Group: Patients received bilateral SPGB using the same mixture in each nostril. Assessments included Numeric Rating Scale (NRS) for severity of headache at supine and sitting positions, nausea NRS, neck stiffness, need for EBP, and complications. RESULTS: The supine and sitting headache NRS scores significantly decreased at 30 minutes after blocks and throughout follow-up period in both groups (P < 0.000). Clinically significant drop of NRS to < 4 was reached earlier in GONB group. There was a significant difference between groups after 2 hours in supine and sitting headache NRS scores (P = 0.020 and 0.030, respectively); however, both treatments showed similar effectiveness from the third hour afterwards (P > 0.05). Both techniques were effective in relieving neck stiffness and nausea (P < 0.000), with no adverse effects. LIMITATIONS: A limitation to this study was the small sample size. CONCLUSIONS: GONB and SPGB are equally effective in relieving symptoms of PDPH. Both techniques are safe, simple, and less invasive than EBP. KEY WORDS: Cesarean Section, epidural blood patch greater occipital nerve block, post-dural puncture headache, sphenopalatine ganglion block

Role of Greater Occipital Nerve Blocks and Trigger Point Injections for Patients With Dizziness and Headache

2011 ◽  
Vol 17 (6) ◽  
pp. 312-317 ◽  
Author(s):  
Eric P. Baron ◽  
Neil Cherian ◽  
Stewart J. Tepper
Keyword(s):  
Trigger Point ◽  
Nerve Blocks ◽  
Occipital Nerve ◽  
Greater Occipital Nerve

Cervical plexus and greater occipital nerve blocks: controversies and technique update

2019 ◽  
Vol 44 (6) ◽  
pp. 623-626 ◽  
Author(s):  
Roy A Greengrass ◽  
Samer Narouze ◽  
Thomas F Bendtsen ◽  
Admir Hadzic
Keyword(s):  
Cervical Plexus ◽  
Nerve Blocks ◽  
Occipital Nerve ◽  
Greater Occipital Nerve

Reply to: Cervical plexus and greater occipital nerve blocks: controversies and technique update

2019 ◽  
Vol 45 (1) ◽  
pp. 89.1-89
Author(s):  
Manfred Greher ◽  
Bernhard Moriggl ◽  
Jens Børglum
Keyword(s):  
Cervical Plexus ◽  
Nerve Blocks ◽  
Occipital Nerve ◽  
Greater Occipital Nerve

scholarly journals The Effects of Repetitive Greater Occipital Nerve Blocks on Cervicogenic Headache

2019 ◽  
Vol 25 (2) ◽  
pp. 82-86
Author(s):  
Devrimsel Harika Ertem ◽  
İlhan Yılmaz
Keyword(s):  
Cervicogenic Headache ◽  
Nerve Blocks ◽  
Occipital Nerve ◽  
Greater Occipital Nerve

scholarly journals Greater occipital nerve blocks for the treatment of postdural puncture headache after labor epidural

2020 ◽  
Vol 14 (2) ◽  
pp. 262
Author(s):  
Jamal Hasoon ◽  
Amnon Berger ◽  
Ivan Urits ◽  
Vwaire Orhurhu
Keyword(s):  
Postdural Puncture Headache ◽  
Nerve Blocks ◽  
Occipital Nerve ◽  
Greater Occipital Nerve ◽  
Labor Epidural
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