Localization of the Center of the Intramuscular Nerve Dense Region of the Suboccipital Muscles: An Anatomical Study
PurposeThis study aimed to determine the body surface puncture position and depth of the center of the intramuscular nerve dense region in the suboccipital muscle to provide morphological guidance for accurate botulinum toxin A injection to treat headaches caused by increased suboccipital muscle ten...
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| Language: | English |
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Frontiers Media S.A.
2022-04-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2022.863446/full |
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| author | Jie Wang Yanrong Li Meng Wang Shengbo Yang |
| author_facet | Jie Wang Yanrong Li Meng Wang Shengbo Yang |
| author_sort | Jie Wang |
| collection | DOAJ |
| description | PurposeThis study aimed to determine the body surface puncture position and depth of the center of the intramuscular nerve dense region in the suboccipital muscle to provide morphological guidance for accurate botulinum toxin A injection to treat headaches caused by increased suboccipital muscle tension.MethodsTwenty-four cadavers aged 66.5 ± 5.3 years were studied. The curve line connecting occipital eminence or mastoid process and spinous process of the 7th cervical vertebrae was considered the longitudinal reference line (L) and horizontal reference line (H), respectively. Sihler's staining, barium sulfate labeling, and CT were employed. The body surface projection point of the center of the intramuscular nerve dense region was designated as P. The projection of the center of the intramuscular nerve dense region was in the opposite direction across the transverse plane and was recorded as P'. The intersections of the vertical line through point P and lines L and H were designated as PL and PH. The percentage position of the PH and PL points on the H and L lines and the depths of the center of intramuscular nerve dense regions were identified.ResultsSihler's staining showed one intramuscular nerve-dense region in each suboccipital muscle. The PH of the center of the intramuscular nerve dense region was located at 51.40, 45.55, 20.55, and 43.50%. The PL was located at 31.38, 30.08, 16.91, and 52.94%. The depth of the center of the intramuscular nerve dense region was at 22.26, 22.54, 13.14, and 27.30%. These percentage values are all the means.ConclusionAccurately defining the body surface position and depth of the center of intramuscular nerve dense region in suboccipital muscles will help to improve botulinum toxin A to target localization efficiency for treating tension-type headache. |
| first_indexed | 2024-12-13T17:54:42Z |
| format | Article |
| id | doaj.art-ae46eacf268a4d5e82b8a8469e7c81ad |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-12-13T17:54:42Z |
| publishDate | 2022-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-ae46eacf268a4d5e82b8a8469e7c81ad2022-12-21T23:36:24ZengFrontiers Media S.A.Frontiers in Neurology1664-22952022-04-011310.3389/fneur.2022.863446863446Localization of the Center of the Intramuscular Nerve Dense Region of the Suboccipital Muscles: An Anatomical StudyJie Wang0Yanrong Li1Meng Wang2Shengbo Yang3Department of Pain, Affiliated Hospital of Zunyi Medical University, Zunyi, ChinaDepartment of Radiology, Affiliated Hospital of Zunyi Medical University, Zunyi, ChinaDepartment of Anatomy, Zunyi Medical University, Zunyi, ChinaDepartment of Anatomy, Zunyi Medical University, Zunyi, ChinaPurposeThis study aimed to determine the body surface puncture position and depth of the center of the intramuscular nerve dense region in the suboccipital muscle to provide morphological guidance for accurate botulinum toxin A injection to treat headaches caused by increased suboccipital muscle tension.MethodsTwenty-four cadavers aged 66.5 ± 5.3 years were studied. The curve line connecting occipital eminence or mastoid process and spinous process of the 7th cervical vertebrae was considered the longitudinal reference line (L) and horizontal reference line (H), respectively. Sihler's staining, barium sulfate labeling, and CT were employed. The body surface projection point of the center of the intramuscular nerve dense region was designated as P. The projection of the center of the intramuscular nerve dense region was in the opposite direction across the transverse plane and was recorded as P'. The intersections of the vertical line through point P and lines L and H were designated as PL and PH. The percentage position of the PH and PL points on the H and L lines and the depths of the center of intramuscular nerve dense regions were identified.ResultsSihler's staining showed one intramuscular nerve-dense region in each suboccipital muscle. The PH of the center of the intramuscular nerve dense region was located at 51.40, 45.55, 20.55, and 43.50%. The PL was located at 31.38, 30.08, 16.91, and 52.94%. The depth of the center of the intramuscular nerve dense region was at 22.26, 22.54, 13.14, and 27.30%. These percentage values are all the means.ConclusionAccurately defining the body surface position and depth of the center of intramuscular nerve dense region in suboccipital muscles will help to improve botulinum toxin A to target localization efficiency for treating tension-type headache.https://www.frontiersin.org/articles/10.3389/fneur.2022.863446/fullsuboccipital musclecenter of intramuscular nerve dense regionbotulinum toxin Atension-type headachestarget localization |
| spellingShingle | Jie Wang Yanrong Li Meng Wang Shengbo Yang Localization of the Center of the Intramuscular Nerve Dense Region of the Suboccipital Muscles: An Anatomical Study Frontiers in Neurology suboccipital muscle center of intramuscular nerve dense region botulinum toxin A tension-type headaches target localization |
| title | Localization of the Center of the Intramuscular Nerve Dense Region of the Suboccipital Muscles: An Anatomical Study |
| title_full | Localization of the Center of the Intramuscular Nerve Dense Region of the Suboccipital Muscles: An Anatomical Study |
| title_fullStr | Localization of the Center of the Intramuscular Nerve Dense Region of the Suboccipital Muscles: An Anatomical Study |
| title_full_unstemmed | Localization of the Center of the Intramuscular Nerve Dense Region of the Suboccipital Muscles: An Anatomical Study |
| title_short | Localization of the Center of the Intramuscular Nerve Dense Region of the Suboccipital Muscles: An Anatomical Study |
| title_sort | localization of the center of the intramuscular nerve dense region of the suboccipital muscles an anatomical study |
| topic | suboccipital muscle center of intramuscular nerve dense region botulinum toxin A tension-type headaches target localization |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2022.863446/full |
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