Occipital Neuralgia

Regarding 'efficacy analysis of combined nerve combing and decompression for occipital neuralgia based on the classification of neurovascular relationships'.

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…

A Stitch in Time Saves Nine: Retrosigmoid Craniotomy with Layered Suboccipital Muscle Dissection to Prevent Cerebrospinal Fluid Leak and Infection.

Numerous modifications to the retrosigmoid craniotomy (RSC) have been reported, including variations in skin incision, soft tissue dissection, craniotomy, and closure techniques. This study aims to demonstrate a modified suboccipital muscle dissection technique for RSC with a detailed anatomical des…

Sustained relief of chronic headache using percutaneous 60-day peripheral nerve stimulation treatment: 12-month results from a multicenter, prospective clinical study.

The study aimed to assess the long-term durability of pain relief among patients with cervicogenic headache (CGH) or occipital neuralgia (ON) following percutaneous 60-day peripheral nerve stimulation (PNS) treatment. Cervicogenic headache (CGH) and occipital neuralgia (ON) are challenging headache…

A comparison of the effects of greater occipital nerve blockade and combined greater occipital-supraorbital nerve blockade on headache in chronic migraine.

To evaluate and compare the effects of isolated greater occipital nerve (GON) blockade versus combined GON-supraorbital nerve (SON) blockade on headache severity, frequency, duration, and quality of life in patients with chronic migraine. This retrospective study included 80 patients with CM who had…

Long-term efficacy and predictors of response to greater occipital nerve pulsed radiofrequency in migraine with prior preventive treatment failure.

Migraine with prior preventive treatment failure represents a significant clinical challenge. While Greater Occipital Nerve (GON) Pulsed Radiofrequency (PRF) is a promising intervention, data regarding its long-term efficacy are limited. This study aimed to evaluate the one-year efficacy of ultrasou…

Ultrasound-Guided Greater Occipital Nerve Block Across Headache Phenotypes: Outcomes and Determinants of Response in a Prospective Cohort.

Greater occipital nerve blocks (GONBs) are used across headache phenotypes, but short-term effectiveness and predictors of response in mixed real-world cohorts remain uncertain. We conducted a prospective observational study of adults with chronic headache phenotypes receiving a single ultrasound-gu…

Peripheral somatostatin-expressing neurons are analgesic targets for refractory occipital neuralgia.

Occipital neuralgia (ON) is a refractory chronic headache disorder characterized by paroxysmal shooting or stabbing pain in the posterior scalp, innervated by occipital nerves that originate from C2 and C3 dorsal root ganglion (DRG) neurons. Limited access to human DRG samples has impeded the unders…