keyword
https://read.qxmd.com/read/38525807/neuralgia-in-the-occipital-region-associated-with-ipsilateral-trigeminal-herpes-zoster-three-case-reports
#1
JOURNAL ARTICLE
Akihiko Nakaya, Kimihiko Kaneko, Koichi Miyazawa, Arifumi Matsumoto, Kinya Hisanaga, Yasuhiko Matsumori, Isao Nagano
BACKGROUND: Nerve fibers related to pain and temperature sensation in the trigeminal nerve territory converge with the upper cervical spinal nerves from the level of the lower medulla oblongata to the upper cervical cord. This structure is called the trigemino-cervical complex and may cause referred pain in the territory of the trigeminal or upper cervical spinal nerves. CASE SERIES: Here, we report three cases of paroxysmal neuralgia in the occipital region with mild conjunctivitis or a few reddish spots in the ipsilateral trigeminal nerve territory...
March 25, 2024: Headache
https://read.qxmd.com/read/38500069/altered-trends-of-local-brain-function-in-classical-trigeminal-neuralgia-patients-after-a-single-trigger-pain
#2
JOURNAL ARTICLE
Juncheng Yan, Luoyu Wang, Lei Pan, Haiqi Ye, Xiaofen Zhu, Qi Feng, Haibin Wang, Zhongxiang Ding, Xiuhong Ge
OBJECTIVE: To investigate the altered trends of regional homogeneity (ReHo) based on time and frequency, and clarify the time-frequency characteristics of ReHo in 48 classical trigeminal neuralgia (CTN) patients after a single pain stimulate. METHODS: All patients underwent three times resting-state functional MRI (before stimulation (baseline), after stimulation within 5 s (triggering-5 s), and in the 30th min of stimulation (triggering-30 min))...
March 18, 2024: BMC Medical Imaging
https://read.qxmd.com/read/38465649/cough-headache-responsive-to-occipital-nerve-blockade
#3
JOURNAL ARTICLE
Aqeel Almutairi, Tommy Lik Hang Chan
No abstract text is available yet for this article.
March 11, 2024: Canadian Journal of Neurological Sciences. le Journal Canadien des Sciences Neurologiques
https://read.qxmd.com/read/38288373/comprehensive-criteria-for-differential-diagnosis-and-a-surgical-management-algorithm-for-occipital-neuralgia-and-migraine-headaches
#4
JOURNAL ARTICLE
Bahman Guyuron, Mario Alessandri Bonetti, Anna Amelia Caretto
The differential diagnoses and nuances of the surgical management of occipital migraine and occipital neuralgia have not been clearly discussed in the available literature. This study aims to highlight additional diagnostic features and offers an algorithm for the surgical treatment of occipital migraine and occipital neuralgia based on the vast experience of the senior author spanning over 23 years. A retrospective cohort study was conducted to review the number and distribution of patients who underwent surgical treatment for occipital migraine headaches and neuralgia and the signs and symptoms observed...
March 2024: JPRAS Open
https://read.qxmd.com/read/38273171/the-triangular-area-between-the-greater-lesser-and-third-occipital-nerves-and-its-possible-clinical-significance
#5
JOURNAL ARTICLE
Latif Sağlam, Özcan Gayretli, Osman Coşkun, Ayşin Kale
PURPOSE: Occipital Neuralgia (ON) is defined as a unilateral or bilateral pain in the posterior area of the scalp occurring in the distribution area or areas of the greater occipital nerve (GON), lesser occipital nerve (LON), and/or third occipital nerve (TON). In the present study, the purpose was to show the possible importance of the triangular area (TA) in nerve block applied in ON by measuring the TA between GON, TON, and LON. METHODS: A total of 24 cadavers (14 males, 10 females) were used in the present study...
February 2024: Surgical and Radiologic Anatomy: SRA
https://read.qxmd.com/read/38159141/review-of-craniofacial-pain-syndromes-involving-the-greater-occipital-nerve-relevant-anatomy-clinical-findings-and-interventional-management
#6
REVIEW
Alienor Fabry, Meena Nedunchelian, Nicolas Stacoffe, Sylvain Guinebert, Jonathan Zipfel, Alexandre Krainik, Caroline Maindet, Bruno Kastler, Sylvie Grand, Adrian Kastler
Craniofacial pain syndromes exhibit a high prevalence in the general population, with a subset of patients developing chronic pain that significantly impacts their quality of life and results in substantial disabilities. Anatomical and functional assessments of the greater occipital nerve (GON) have unveiled its implication in numerous craniofacial pain syndromes, notably through the trigeminal-cervical convergence complex. The pathophysiological involvement of the greater occipital nerve in craniofacial pain syndromes, coupled with its accessibility, designates it as the primary target for various interventional procedures in managing craniofacial pain syndromes...
February 2024: Neuroradiology
https://read.qxmd.com/read/38113657/diffusion-tensor-imaging-reveals-distributed-white-matter-abnormalities-in-primary-trigeminal-neuralgia-tract-based-spatial-statistics-study
#7
JOURNAL ARTICLE
Elena Filimonova, Anton Pashkov, Galina Moysak, Azniv Martirosyan, Boris Zaitsev, Jamil Rzaev
BACKGROUND: Primary trigeminal neuralgia (PTN) is a prevalent chronic pain disorder whose pathogenesis is not limited to the trigeminal system. Despite the significant advances in uncovering underlying mechanisms, there is a paucity of comprehensive and consistent data regarding the role of white matter throughout the entire brain in PTN. METHODS: We performed a prospective case-control study. Sixty patients with PTN and 28 age- and sex-matched healthy controls were evaluated using diffusion tensor imaging (DTI)...
December 10, 2023: Clinical Neurology and Neurosurgery
https://read.qxmd.com/read/38101258/a-surgical-decision-aid-for-occipital-neuralgia-with-literature-review-and-single-center-case-series
#8
JOURNAL ARTICLE
Susanna D Howard, Ritesh Karsalia, Yohannes Ghenbot, Liming Qiu, I Jonathan Pomeraniec, John Y K Lee, Eric L Zager, Iahn Cajigas
BACKGROUND: Occipital neuralgia (ON) is a debilitating headache disorder. Due to the rarity of this disorder and lack of high-level evidence, a clear framework for choosing the optimal surgical approach for medically refractory ON incorporating shared decision making with patients does not exist. METHODS: A literature review of studies reporting pain outcomes of patients who underwent surgical treatment for ON was performed, as well as a retrospective chart review of patients who underwent surgery for ON within our institution...
December 12, 2023: Clinical Neurology and Neurosurgery
https://read.qxmd.com/read/38090265/refractory-occipital-neuralgia-treatment-with-nerve-decompression-surgery-a-case-series
#9
JOURNAL ARTICLE
William G Austen, Katya Remy, Kathryn Packowski, Merel H Hazewinkel, Lisa Gfrerer, Paul G Mathew
BACKGROUND: The management of refractory occipital neuralgia (ON) can be challenging. Selection criteria for occipital nerve decompression surgery are not well defined in terms of clinical features and best preoperative medical management. METHODS: In total, 15 patients diagnosed with ON by a board-certified, fellowship-trained headache specialist and referred to a plastic surgeon for nerve decompression surgery were prospectively enrolled. All subjects received trials of occipital nerve blocks (NB), at least three preventive medications, and onabotulinum toxin (BTX) prior to surgery before referral to a plastic surgeon...
2023: Frontiers in Neurology
https://read.qxmd.com/read/38001310/distinctive-cortical-morphological-patterns-in-primary-trigeminal-neuralgia-a-cross-sectional-clinical-study
#10
JOURNAL ARTICLE
Hui Xu, Yang Liu, Wen-Tao Zeng, Yu-Xin Fan, Yuan Wang
PURPOSE: The characteristics of surface-based morphological patterns to primary trigeminal neuralgia (PTN) are still not well understood. This study aims to screen the useful cortical indices for the prediction of PTN and the quantification of pain severity. METHODS: Fifty PTN patients and 48 matched healthy subjects enrolled in the study from March 2016 to August 2021. High-resolution T1 data were performed at 3.0 Tesla scanner and were analyzed with FreeSurfer software to detect the abnormalities of cortical mean curve (CMC), cortical thickness (CT), surface area (SA), and cortical volume (CV) in PTN patients compared to healthy controls...
November 25, 2023: Neuroradiology
https://read.qxmd.com/read/37995295/treatment-delay-from-onset-of-occipital-neuralgia-symptoms-to-treatment-with-nerve-decompression-surgery-a-prospective-cohort-study
#11
JOURNAL ARTICLE
Merel H J Hazewinkel, Katya Remy, Grant Black, Sierra Tseng, Paul G Mathew, Anna Schoenbrunner, Jeffrey E Janis, William G Austen, Rohan Jotwani, Lisa Gfrerer
BACKGROUND: The aim of this study was to a) evaluate the time between onset of occipital neuralgia symptoms and nerve decompression surgery, b) perform a cost comparison analysis between surgical and non-surgical treatment of occipital neuralgia and c) report postoperative results of nerve decompression for occipital neuralgia. METHODS: 1,112 subjects who underwent screening for nerve decompression surgery were evaluated for occipital neuralgia. 367 (33%) patients met the inclusion criteria...
November 23, 2023: Pain Medicine
https://read.qxmd.com/read/37954779/effectiveness-of-botulinum-toxin-in-the-treatment-of-neuropathic-pain-a-literature-review
#12
REVIEW
Anushka Dekhne, Harmin D Goklani, Neel Doshi, Rishabh Baskara Salian, Siddharth Kamal Gandhi, Priyansh Patel
Neuralgia is characterized by chronic pain resulting from damage or diseases in the somatosensory system, including nerves responsible for transmitting sensory information. Current treatments for neuropathic pain, which is a type of neuralgia, have limited success rates and can cause unwanted side effects. Since 1989, botulinum toxin-A (BTX-A), derived from the potent neurotoxin Clostridium botulinum , has been used to treat neuropathic pain in humans. BTX-A has shown analgesic effects by inhibiting the release of neurotransmitters involved in pain transmission...
October 2023: Curēus
https://read.qxmd.com/read/37816519/debunking-myths-in-headache-diagnosis-for-the-pain-practitioner
#13
JOURNAL ARTICLE
Hsiangkuo Yuan, Samantha Strutner, Clara Yuh, Suwarna Anand, Gaurav Chauhan, Anand Prem, Shalini Shah, Nathaniel M Schuster
With headache being one of the most common chief complaints, it is essential for pain practitioners to interpret and differentiate a variety of headache characteristics to accurately diagnose and treat specific headache disorders. Certain misconceptions often lead to misdiagnosis. This article presents and discusses six myths about several common headache disorders (migraine, tension-type headache, cluster headache, cervicogenic headache, sinus headache, and occipital neuralgia) often encountered in clinical practice...
October 10, 2023: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/37791796/vascularized-denervated-muscle-targets-for-headache-surgery-presentation-and-surgical-management
#14
JOURNAL ARTICLE
Myan Bhoopalam, Salih Colakoglu, Sami H Tuffaha, Sashank K Reddy
Patients with substantial trauma to their occipital nerves and those with recurrent or persistent chronic headaches after occipital nerve decompression surgery require transection of their greater occipital and/or lesser occipital nerves to control debilitating pain. Current techniques, such as burying the transected nerve stump in nearby muscle, do not prevent neuroma formation, and more advanced techniques, such as targeted muscle reinnervation and regenerative peripheral nerve interface, have demonstrated only short-term anecdotal success in the context of headache surgery...
October 4, 2023: Journal of Craniofacial Surgery
https://read.qxmd.com/read/37777340/morphological-features-of-the-greater-occipital-nerve-and-its-possible-importance-for-interventional-procedures
#15
JOURNAL ARTICLE
Latif Saglam, Ozcan Gayretli, Osman Coskun, Aysin Kale
Being one of the most prevalent neurological symptoms, headaches are burdensome and costly. Blocks and decompression surgeries of the greater occipital nerve (GON) have been frequently used for migraine, cervicogenic headache, and occipital neuralgia which are classified under headache by International Headache Society. Knowledge of complex anatomy of GON is crucial for its decompression surgery and block. This study was performed to elucidate anatomical features of this nerve in detail. Forty-one cadavers were dissected bilaterally...
September 30, 2023: Journal of Anatomy
https://read.qxmd.com/read/37750852/aberrant-functional-and-causal-connectivity-of-the-amygdala-in-herpes-zoster-and-postherpetic-neuralgia-patients
#16
JOURNAL ARTICLE
Xiaofeng Jiang, Hongmei Kuang, Huiting Lv, Jiaxin Xiong, Jiahao Li, Shunda Hong, Y I Yan, Lili Gu, Jian Jiang
OBJECTIVES: Resting-state functional magnetic resonance imaging (rs-fMRI) and Granger causality analysis (GCA) were used to observe the characteristics of amygdala and whole-brain effect connections in patients with herpes zoster (HZ) and postherpetic neuralgia (PHN) and to determine their relationship with clinical features. METHODS: Rs-fMRI scans were performed on 50 HZ; 50 PHN; and 50 age-, sex- and education-year-matched healthy controls (HCs). Bilateral amygdala subregions were used as seeds for functional connectivity (FC)...
September 26, 2023: British Journal of Radiology
https://read.qxmd.com/read/37641792/peripheral-nerve-stimulation-of-the-lesser-occipital-and-greater-auricular-nerve-for-post-herpetic-neuralgia-in-a-case-of-ramsay-hunt-syndrome-case-report
#17
JOURNAL ARTICLE
Brooks Johnson, Stephen Covington, Mostafa Maita, Natalie Strand
BACKGROUND: Post-herpetic neuralgia (PHN) is a painful condition that presents after herpes zoster reactivation in the peripheral and central nervous system. When medical treatment fails, options are limited, and patients may suffer with chronic pain indefinitely. CASE PRESENTATION: We present the case of a gentleman with a 3-year history of PHN in the distribution of the right lesser occipital and greater auricular nerves that failed to respond to medical treatment...
2023: Orthopedic Reviews
https://read.qxmd.com/read/37564833/nerve-blocks-for-occipital-headaches-a-systematic-review-and-meta-analysis
#18
REVIEW
Adam G Evans, Kardeem S Joseph, Marc M Samouil, Dorian S Hill, Maryo M Ibrahim, Patrick E Assi, Jeremy T Joseph, Salam Al Kassis
Migraine surgeons have identified six "trigger sites" where cranial nerve compression may trigger a migraine. This study investigates the change in headache severity and frequency following nerve block of the occipital trigger site. This PRISMA-compliant systematic review of five databases searched from database inception through May 2020 is registered under the PROSPERO ID: CRD42020199369. Only randomized controlled trials utilizing injection treatments for headaches with pain or tenderness in the occipital scalp were included...
2023: Journal of Anaesthesiology, Clinical Pharmacology
https://read.qxmd.com/read/37560573/pruritus-and-urticaria-induced-by-neurostimulation-a-case-report-and-review-of-literature
#19
Chirag Goel, Anusha Manjunath, Olivia A Kozel, Archit Bharathwaj Baskaran, William Gibson, Michael R Jones, Joshua M Rosenow
BACKGROUND: Spinal cord stimulation (SCS) consists of the implantation of neuromodulatory devices in the spinal cord to treat refractory neuropathic pain. Although SCS technology has been proven of immense clinical benefit, complications remain including refractory pain, infection risk, and electrode migration or displacement. Till date, there are minimal reports of allergic side effects following SCS implantation. CASE DESCRIPTION: In the first case, a 36-year-old male with chronic axial and radicular neuropathic pain in underwent implantation of an open paddle lead and generator...
2023: Surgical Neurology International
https://read.qxmd.com/read/37548543/surgical-management-of-pediatric-occipital-neuralgia-a-single-center-experience-of-an-uncommon-pathology
#20
JOURNAL ARTICLE
Lance M Villeneuve, Nangorgo J Coulibaly, Syed M Raza, Brittany Poinson, Deepti Chrusciel, Virendra R Desai
OBJECTIVE: Occipital neuralgia (ON) is a rare headache disorder characterized by sharp pain in the distribution of the greater occipital nerve (GON), lesser occipital nerve, or third occipital nerve. ON is commonly associated with traumatic injury, and effective identification and diagnosis can be difficult given the infrequent presentation and similarities to other pediatric headache disorders. While GON decompression has been well described in adults for refractory pain, there is a paucity of data in the pediatric population, with no previously published series on ON...
July 28, 2023: Journal of Neurosurgery. Pediatrics
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