Occipital nerve block is effective in craniofacial neuralgias but not in idiopathic persistent facial painReportar como inadecuado




Occipital nerve block is effective in craniofacial neuralgias but not in idiopathic persistent facial pain - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

The Journal of Headache and Pain

, Volume 13, Issue 3, pp 199–213

First Online: 03 March 2012Received: 24 October 2011Accepted: 18 January 2012

Abstract

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.

KeywordsTrigeminal neuralgia Facial pain Trigeminal neuropathic pain Occipital nerve block Occipital Neuralgia  Download fulltext PDF



Autor: T. P. Jürgens - P. Müller - H. Seedorf - J. Regelsberger - A. May

Fuente: https://link.springer.com/







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