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…

Exploring Proximal and Distal Ultrasound-Guided Greater Occipital Nerve Block Approaches in Migraine: A Systematic Review and Meta-Analysis.

To evaluate the effectiveness and safety of proximal and distal ultrasound-guided greater occipital nerve block (US-GONB) in patients with migraine. PubMed, Scopus, Web of Science, and the Cochrane Library were searched up to July 2025. Studies assessing US-GONB in migraine were included. Data were…

Lesser Occipital Neuralgia Secondary to Continuous Positive Airway Pressure (CPAP) Mask Headgear: A Case Report.

Occipital neuralgia is a well-characterised cause of unilateral head and neck pain arising from irritation of the greater or lesser occipital nerve (LON). External headwear (helmets, goggles, and tight headbands) is a recognised trigger of pericranial pain, formally classified by the International C…

Greater occipital nerve block versus intranasal sphenopalatine ganglion block in chronic migraine with failure of at least two oral preventive treatments: a prospective, non-randomised patient-preference comparative study.

Prospective comparative evidence for greater occipital nerve (GON) block and intranasal sphenopalatine ganglion (SPG) block is limited. This study describes the six-month course of two treatment cohorts of patients with chronic migraine in whom at least two oral preventive treatments had failed. To…

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…

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…

Ultrasound-guided percutaneous temporary vagus nerve stimulation for refractory post-traumatic chronic pain and post-traumatic stress disorder (PTSD): first reported case and implantation technique.

Post-traumatic stress disorder (PTSD) and chronic pain frequently coexist and are often refractory to conventional therapies. Vagus nerve stimulation (VNS) has emerged as a potential neuromodulatory approach targeting autonomic dysregulation and central pain pathways. VNS has traditionally been deli…