Efficacy analysis of combined nerve combing and decompression for occipital neuralgia based on the classification of neurovascular relationships.
This study set occipital pain improvement as the primary endpoint, and overall headache relief, migraine index, medication use and complication rate as secondary endpoints, to evaluate the efficacy and safety of neural combing plus decompression guided by four neurovascular relationship subtypes for…
Our surgical experience in Arnold's neuralgia: Technical insights and clinical results.
Arnold's neuralgia, also referred to as greater occipital neuralgia, is a chronic neuropathic pain condition characterized by paroxysmal or continuous occipital pain. While most patients respond to conservative treatment, a subset develops medically refractory symptoms requiring surgical interventio…
Optimizing magnetic resonance imaging for detection of greater occipital nerve pathology in migraine headache disorders.
Migraine and occipital headache disorders are increasingly recognized as conditions that may rise from compression of extracranial peripheral nerves, particularly the greater occipital nerve (GON). Despite growing recognition of peripheral mechanisms contributing to headache pathophysiology, objecti…
Concussion symptoms are inherently nonspecific for concussion and many mimicking conditions exist. The biomechanics of the injury, the athlete's past medical history, their family history, and objective clinical examination tools must be included in the initial evaluation to improve diagnostic certa…
Approaches to Occipital Neuralgia Treatment: A Systematic Review and Case Examples.
Occipital neuralgia (ON) is a debilitating craniofacial pain disorder characterized by paroxysmal pain in the distribution of the greater, lesser, or third occipital nerves. Despite a growing array of interventions, clinical decision-making remains highly variable, with no standardized algorithm to…
Occipital Nerve Stimulation for Refractory Occipital Neuralgia: A Multicenter, Randomized, Controlled Trial [StimO Study].
Introduction: Occipital neuralgia [ON] is a primary headache disorder that contributes to a significant proportion of facial pain cases. Occipital neuralgia is an uncommon but disabling headache disorder with an estimated annual incidence of approximately 3.2 per 100,000 individuals. The pathophysio…
Trapezius fascia reveals mechanosensory capacity and predominance of nociceptive axons in occipital neuralgia.
Occipital neuralgia (ON) is a complex and painful condition that presents significant clinical challenges, often resistant to conventional treatments. This study focuses on the trapezius fascia’s role in ON, exploring its neural and mechanosensitive properties. We conducted a detailed analysi…