Greater occipital nerve blockade using ultrasound guidance for the headache of spontaneous intracranial hypotension - A case report -
Background Spontaneous intracranial hypotension occurs due to cerebrospinal fluid leakage from the spinal column, and orthostatic headache is the most common clinical presentation. Recent studies showed that bilateral greater occipital nerve blockade demonstrated clinical efficacy in relieving post-...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Anesthesiologists
2022-01-01
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| Series: | Anesthesia and Pain Medicine |
| Subjects: | |
| Online Access: | http://www.anesth-pain-med.org/upload/pdf/apm-21082.pdf |
| _version_ | 1797825360591585280 |
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| author | Ji Hee Hong Ho Woo Lee Yong Ho Lee |
| author_facet | Ji Hee Hong Ho Woo Lee Yong Ho Lee |
| author_sort | Ji Hee Hong |
| collection | DOAJ |
| description | Background Spontaneous intracranial hypotension occurs due to cerebrospinal fluid leakage from the spinal column, and orthostatic headache is the most common clinical presentation. Recent studies showed that bilateral greater occipital nerve blockade demonstrated clinical efficacy in relieving post-dural puncture headache after caesarean section. Case A 40-year-old male who presented severe orthostatic headache was consulted to our pain clinic from neurology department. He initially felt a dull nature pain over the whole occipital area which then spread over the frontal and parietal areas. His headache was combined with nausea and vomiting. An epidural blood patch was delayed until final cisternography, and bilateral greater occipital nerve blockade using ultrasound guidance was performed instead. After the blockade, the previously existing headache around the occipital and parietal areas disappeared completely, but mild headache persisted around the frontal area. Conclusions Greater occipital nerve blockade could be a good therapeutic alternative to improve headache resulting from spontaneous intracranial hypotension. |
| first_indexed | 2024-03-13T10:52:59Z |
| format | Article |
| id | doaj.art-151c3a55b8e746a7bc6b8517fb3f0488 |
| institution | Directory Open Access Journal |
| issn | 1975-5171 2383-7977 |
| language | English |
| last_indexed | 2024-03-13T10:52:59Z |
| publishDate | 2022-01-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Anesthesia and Pain Medicine |
| spelling | doaj.art-151c3a55b8e746a7bc6b8517fb3f04882023-05-17T05:54:19ZengKorean Society of AnesthesiologistsAnesthesia and Pain Medicine1975-51712383-79772022-01-01171626610.17085/apm.210821109Greater occipital nerve blockade using ultrasound guidance for the headache of spontaneous intracranial hypotension - A case report -Ji Hee Hong0Ho Woo Lee1Yong Ho Lee2 Department of Anesthesiology and Pain Medicine, Keimyung University Dong San Hospital, Daegu, Korea Department of Anesthesiology and Pain Medicine, Keimyung University Dong San Hospital, Daegu, Korea Department of Anesthesiology and Pain Medicine, Keimyung University Dong San Hospital, Daegu, KoreaBackground Spontaneous intracranial hypotension occurs due to cerebrospinal fluid leakage from the spinal column, and orthostatic headache is the most common clinical presentation. Recent studies showed that bilateral greater occipital nerve blockade demonstrated clinical efficacy in relieving post-dural puncture headache after caesarean section. Case A 40-year-old male who presented severe orthostatic headache was consulted to our pain clinic from neurology department. He initially felt a dull nature pain over the whole occipital area which then spread over the frontal and parietal areas. His headache was combined with nausea and vomiting. An epidural blood patch was delayed until final cisternography, and bilateral greater occipital nerve blockade using ultrasound guidance was performed instead. After the blockade, the previously existing headache around the occipital and parietal areas disappeared completely, but mild headache persisted around the frontal area. Conclusions Greater occipital nerve blockade could be a good therapeutic alternative to improve headache resulting from spontaneous intracranial hypotension.http://www.anesth-pain-med.org/upload/pdf/apm-21082.pdfgreater occipital nerveorthostatic headachespontaneous intracranial hypotensionultrasound |
| spellingShingle | Ji Hee Hong Ho Woo Lee Yong Ho Lee Greater occipital nerve blockade using ultrasound guidance for the headache of spontaneous intracranial hypotension - A case report - Anesthesia and Pain Medicine greater occipital nerve orthostatic headache spontaneous intracranial hypotension ultrasound |
| title | Greater occipital nerve blockade using ultrasound guidance for the headache of spontaneous intracranial hypotension - A case report - |
| title_full | Greater occipital nerve blockade using ultrasound guidance for the headache of spontaneous intracranial hypotension - A case report - |
| title_fullStr | Greater occipital nerve blockade using ultrasound guidance for the headache of spontaneous intracranial hypotension - A case report - |
| title_full_unstemmed | Greater occipital nerve blockade using ultrasound guidance for the headache of spontaneous intracranial hypotension - A case report - |
| title_short | Greater occipital nerve blockade using ultrasound guidance for the headache of spontaneous intracranial hypotension - A case report - |
| title_sort | greater occipital nerve blockade using ultrasound guidance for the headache of spontaneous intracranial hypotension a case report |
| topic | greater occipital nerve orthostatic headache spontaneous intracranial hypotension ultrasound |
| url | http://www.anesth-pain-med.org/upload/pdf/apm-21082.pdf |
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