Greater occipital nerve blockade in cervicogenic headache
Autor(a) principal: | |
---|---|
Data de Publicação: | 1998 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos de neuro-psiquiatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1998000500004 |
Resumo: | Cervicocogenic headache (CeH) is a relatively common disorder. Although no ideal treatment is available so far, blockades in different structures and nerves may be temporarily effective. We studied the effects of 1-2 mL 0.5% bupivacaine injection at the ipsilateral greater occipital nerve (GON) in 41 CeH patients. The pain is significantly reduced both immediately and as long as 7 days after the blockade. The improvement is less marked during the first two days, a phenomenon we called "tilde pattern". GON blockades may reduce the pool of exaggerated sensory input and antagonize a putative "wind-up-like effect" which may explain the headache improvement. |
id |
ABNEURO-1_464046e7274196baf3c9ce650903d917 |
---|---|
oai_identifier_str |
oai:scielo:S0004-282X1998000500004 |
network_acronym_str |
ABNEURO-1 |
network_name_str |
Arquivos de neuro-psiquiatria (Online) |
repository_id_str |
|
spelling |
Greater occipital nerve blockade in cervicogenic headacheanaesthetic blockadebupivacainecervicogenic headachegreater occipital nerveCervicocogenic headache (CeH) is a relatively common disorder. Although no ideal treatment is available so far, blockades in different structures and nerves may be temporarily effective. We studied the effects of 1-2 mL 0.5% bupivacaine injection at the ipsilateral greater occipital nerve (GON) in 41 CeH patients. The pain is significantly reduced both immediately and as long as 7 days after the blockade. The improvement is less marked during the first two days, a phenomenon we called "tilde pattern". GON blockades may reduce the pool of exaggerated sensory input and antagonize a putative "wind-up-like effect" which may explain the headache improvement.Academia Brasileira de Neurologia - ABNEURO1998-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1998000500004Arquivos de Neuro-Psiquiatria v.56 n.4 1998reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/S0004-282X1998000500004info:eu-repo/semantics/openAccessVINCENT,MAURICE B.LUNA,RENATO A.SCANDIUZZI,DENISENOVIS,SÉRGIO A. Peng2000-11-06T00:00:00Zoai:scielo:S0004-282X1998000500004Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2000-11-06T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse |
dc.title.none.fl_str_mv |
Greater occipital nerve blockade in cervicogenic headache |
title |
Greater occipital nerve blockade in cervicogenic headache |
spellingShingle |
Greater occipital nerve blockade in cervicogenic headache VINCENT,MAURICE B. anaesthetic blockade bupivacaine cervicogenic headache greater occipital nerve |
title_short |
Greater occipital nerve blockade in cervicogenic headache |
title_full |
Greater occipital nerve blockade in cervicogenic headache |
title_fullStr |
Greater occipital nerve blockade in cervicogenic headache |
title_full_unstemmed |
Greater occipital nerve blockade in cervicogenic headache |
title_sort |
Greater occipital nerve blockade in cervicogenic headache |
author |
VINCENT,MAURICE B. |
author_facet |
VINCENT,MAURICE B. LUNA,RENATO A. SCANDIUZZI,DENISE NOVIS,SÉRGIO A. P |
author_role |
author |
author2 |
LUNA,RENATO A. SCANDIUZZI,DENISE NOVIS,SÉRGIO A. P |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
VINCENT,MAURICE B. LUNA,RENATO A. SCANDIUZZI,DENISE NOVIS,SÉRGIO A. P |
dc.subject.por.fl_str_mv |
anaesthetic blockade bupivacaine cervicogenic headache greater occipital nerve |
topic |
anaesthetic blockade bupivacaine cervicogenic headache greater occipital nerve |
description |
Cervicocogenic headache (CeH) is a relatively common disorder. Although no ideal treatment is available so far, blockades in different structures and nerves may be temporarily effective. We studied the effects of 1-2 mL 0.5% bupivacaine injection at the ipsilateral greater occipital nerve (GON) in 41 CeH patients. The pain is significantly reduced both immediately and as long as 7 days after the blockade. The improvement is less marked during the first two days, a phenomenon we called "tilde pattern". GON blockades may reduce the pool of exaggerated sensory input and antagonize a putative "wind-up-like effect" which may explain the headache improvement. |
publishDate |
1998 |
dc.date.none.fl_str_mv |
1998-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1998000500004 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1998000500004 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0004-282X1998000500004 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
dc.source.none.fl_str_mv |
Arquivos de Neuro-Psiquiatria v.56 n.4 1998 reponame:Arquivos de neuro-psiquiatria (Online) instname:Academia Brasileira de Neurologia instacron:ABNEURO |
instname_str |
Academia Brasileira de Neurologia |
instacron_str |
ABNEURO |
institution |
ABNEURO |
reponame_str |
Arquivos de neuro-psiquiatria (Online) |
collection |
Arquivos de neuro-psiquiatria (Online) |
repository.name.fl_str_mv |
Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia |
repository.mail.fl_str_mv |
||revista.arquivos@abneuro.org |
_version_ |
1754212751358558208 |