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…
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…
Greater, Lesser, and Third Occipital Nerve Entrapment: Sonographic Anatomy and Imaging.
Occipital neuralgia causes stabbing, burning, or throbbing pain and dysthesia in the distribution of the greater, lesser, and third occipital nerves (ONs), which extends from the suboccipital region to the vertex of the head. There can be crossover between occipital neuralgia symptoms and headaches,…
Outcomes of Microvascular Decompression for Young-Onset Trigeminal Neuralgia.
The surgical treatment of trigeminal neuralgia (TN) in young patients is challenging, and there is mixed evidence regarding the efficacy of microvascular decompression (MVD) in this patient population. We examined long-term clinical outcomes after MVD in patients with pediatric and young-onset TN. B…
Superselective Craniofacial Nerve Decompression in a Pediatric Patient: A Case Report.
Peripheral nerve release has emerged as a viable treatment option for pharmacologically refractory migraines secondary to craniofacial compression neuropathies. Although occipital nerve decompression is well described, management of supraorbital and zygomaticotemporal nerve compression is less chara…
Temporary Occipital Nerve Peripheral Nerve Stimulation at C2 in Refractory Occipital Pain: Case Series.
Occipital pain is a debilitating condition often resistant to conventional therapies. Peripheral nerve stimulation (PNS) that targets the occipital nerve at the C2 level has emerged as a novel neuromodulation strategy offering targeted relief. This retrospective case series included 4 patients with…
Endoscopic-Assisted Extended Nerve Decompression with Radical Artery Elimination Yields Superior Relief for Refractory Occipital Migraines.
Surgical decompression of the greater occipital nerve (GON) is a recognized treatment for occipital migraines that are resistant to medical management. Recent evidence suggests that vascular compression by the occipital artery (OA) contributes to occipital migraine pathophysiology. This study compar…
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…