Greater occipital nerve blockade in cervicogenic headache

Detalhes bibliográficos
Autor(a) principal: VINCENT,MAURICE B.
Data de Publicação: 1998
Outros Autores: LUNA,RENATO A., SCANDIUZZI,DENISE, NOVIS,SÉRGIO A. P
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.
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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
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