Occipital nerve block is effective in craniofacial neuralgias but not in idiopathic persistent facial pain.
Standard
Occipital nerve block is effective in craniofacial neuralgias but not in idiopathic persistent facial pain. / Jürgens, Tim; Müller, P; Seedorf, Hartwig; Regelsberger, Jan; May, Arne.
in: J HEADACHE PAIN, Jahrgang 13, Nr. 3, 3, 2012, S. 199-213.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Occipital nerve block is effective in craniofacial neuralgias but not in idiopathic persistent facial pain.
AU - Jürgens, Tim
AU - Müller, P
AU - Seedorf, Hartwig
AU - Regelsberger, Jan
AU - May, Arne
PY - 2012
Y1 - 2012
N2 - Occipital nerve block (ONB) has been used in several primary headache syndromes with good results. Information on its effects in facial pain is sparse. In this chart review, the efficacy of ONB using lidocaine and dexamethasone was evaluated in 20 patients with craniofacial pain syndromes comprising 8 patients with trigeminal neuralgia, 6 with trigeminal neuropathic pain, 5 with persistent idiopathic facial pain and 1 with occipital neuralgia. Response was defined as an at least 50% reduction of original pain. Mean response rate was 55% with greatest efficacy in trigeminal (75%) and occipital neuralgia (100%) and less efficacy in trigeminal neuropathic pain (50%) and persistent idiopathic facial pain (20%). The effects lasted for an average of 27 days with sustained benefits for 69, 77 and 107 days in three patients. Side effects were reported in 50%, albeit transient and mild in nature. ONBs are effective in trigeminal pain involving the second and third branch and seem to be most effective in craniofacial neuralgias. They should be considered in facial pain before more invasive approaches, such as thermocoagulation or vascular decompression, are performed, given that side effects are mild and the procedure is minimally invasive.
AB - Occipital nerve block (ONB) has been used in several primary headache syndromes with good results. Information on its effects in facial pain is sparse. In this chart review, the efficacy of ONB using lidocaine and dexamethasone was evaluated in 20 patients with craniofacial pain syndromes comprising 8 patients with trigeminal neuralgia, 6 with trigeminal neuropathic pain, 5 with persistent idiopathic facial pain and 1 with occipital neuralgia. Response was defined as an at least 50% reduction of original pain. Mean response rate was 55% with greatest efficacy in trigeminal (75%) and occipital neuralgia (100%) and less efficacy in trigeminal neuropathic pain (50%) and persistent idiopathic facial pain (20%). The effects lasted for an average of 27 days with sustained benefits for 69, 77 and 107 days in three patients. Side effects were reported in 50%, albeit transient and mild in nature. ONBs are effective in trigeminal pain involving the second and third branch and seem to be most effective in craniofacial neuralgias. They should be considered in facial pain before more invasive approaches, such as thermocoagulation or vascular decompression, are performed, given that side effects are mild and the procedure is minimally invasive.
KW - Adult
KW - Humans
KW - Male
KW - Aged
KW - Female
KW - Middle Aged
KW - Aged, 80 and over
KW - Young Adult
KW - Retrospective Studies
KW - Anesthetics, Local/administration & dosage
KW - Anti-Inflammatory Agents/administration & dosage
KW - Dexamethasone/administration & dosage
KW - Facial Pain/surgery
KW - Lidocaine/administration & dosage
KW - Nerve Block/methods
KW - Neuralgia/surgery
KW - Occipital Bone/innervation
KW - Trigeminal Nerve/surgery
KW - Adult
KW - Humans
KW - Male
KW - Aged
KW - Female
KW - Middle Aged
KW - Aged, 80 and over
KW - Young Adult
KW - Retrospective Studies
KW - Anesthetics, Local/administration & dosage
KW - Anti-Inflammatory Agents/administration & dosage
KW - Dexamethasone/administration & dosage
KW - Facial Pain/surgery
KW - Lidocaine/administration & dosage
KW - Nerve Block/methods
KW - Neuralgia/surgery
KW - Occipital Bone/innervation
KW - Trigeminal Nerve/surgery
U2 - 10.1007/s10194-012-0417-x
DO - 10.1007/s10194-012-0417-x
M3 - SCORING: Journal article
VL - 13
SP - 199
EP - 213
JO - J HEADACHE PAIN
JF - J HEADACHE PAIN
SN - 1129-2369
IS - 3
M1 - 3
ER -