Publications by authors named "Stephen Flitman"

The indications for using steroids when performing occipital nerve blocks (ONBs) are not completely clear. We report a patient with chronic migraines who was allergic to local anesthetics, for whom ONBs using only corticosteroid proved useful. To our knowledge, this is only published case describing the effects of ONBs using only corticosteroid, without local anesthetic.

View Article and Find Full Text PDF

Objective: To explore the effect of symptomatic medication overuse (SMO) and headache type on occipital nerve block (ONB) efficacy.

Methods: We conducted a chart review of all of the ONBs performed in our clinic over a 2-year period.

Results: Of 108 ONBs with follow-up data, ONB failed in 22% of injections overall.

View Article and Find Full Text PDF

Introduction: Occipital nerve block (ONB) is a promising treatment for headaches. Its indications, selection criteria, and best techniques are not clear, however.

Objective: To summarize in narrative format what is known about ONBs and what needs to be learned.

View Article and Find Full Text PDF

Objective: To investigate the utility of a clinical laboratory ELISA format assay that measures neural thread protein (NTP) in urine in the assessment of patients presenting with cognitive symptoms.

Design: A prospective blinded multicentered study.

Setting: Eight US specialty clinics for the evaluation of cognitive or memory disorder or dementia, including memory disorder and dementia clinics, neurology clinics, and psychiatry clinics, in 8 states.

View Article and Find Full Text PDF