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Ultrasound-guided lesser occipital nerve combined with great auricular nerve block for vestibular schwannoma craniotomy via a suboccipital retrosigmoid approach: a prospective, double-blind randomized controlled trial.

BMC Anesthesiol

July 2024

Department of Anesthesiology and Pain Medicine, Hubei Key Laboratory of Geriatric Anesthesia and Perioperative Brain Health, and Wuhan Clinical Research Center for Geriatric Anesthesia, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Purpose: This aim of this study was to investigate the analgesic efficacy and safety of lesser occipital nerve combined with great auricular nerve block (LOGAB) for craniotomy via a suboccipital retrosigmoid approach.

Methods: Patients underwent vestibular schwannoma resection via a suboccipital retrosigmoid approach were randomly assigned to receive ultrasound-guided unilateral LOGAB with 5 ml of 0.5% ropivacaine (LOGAB group) or normal saline (NSB group).

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Background: This study analyzed all reported cases of painful traumatic neuromas to better understand their anatomic distribution, etiologies, and surgical treatment.

Methods: PubMed, Embase, Cochrane, and Web of Science were searched in October 2023 for articles describing painful traumatic neuromas.

Results: In total, 414 articles reporting 5,562 neuromas were included and categorized into head/neck, trunk, upper extremity, lower extremity, and autonomic nerves.

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Aetiologies of iatrogenic occipital nerve injury and outcomes following treatment with nerve decompression surgery.

J Plast Reconstr Aesthet Surg

August 2024

Division of Plastic and Reconstructive Surgery, Department of Surgery, Weill Cornell Medicine, Weill Cornell Medical College, New York, NY, USA. Electronic address:

Introduction: This study analyzed the etiologies and treatment of iatrogenic occipital nerve injuries.

Methods: Patients with occipital neuralgia (ON) who were screened for occipital nerve decompression surgery were prospectively enrolled. Patients with iatrogenic occipital nerve injuries who underwent nerve decompression surgery were identified.

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Surgical Management of Headache Disorders - A Systematic Review of the Literature.

Curr Neurol Neurosci Rep

July 2024

Division of Plastic and Reconstructive Surgery, Weill Cornell Medicine, New York, USA.

Purpose Of Review: This review article critically evaluates the latest advances in the surgical treatment of headache disorders.

Recent Findings: Studies have demonstrated the effectiveness of innovative screening tools, such as doppler ultrasound, pain drawings, magnetic resonance neurography, and nerve blocks to help identify candidates for surgery. Machine learning has emerged as a powerful tool to predict surgical outcomes.

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