Objective: Greater occipital nerve (GON) blockade injections can be used to prevent episodic and chronic cluster headaches. In recent studies, prophylactic treatment has been used in addition to the GON blockade. In this study, we aimed to elucidate the effect of GON blockade on the attack frequency, pain intensity, and duration in patients diagnosed with chronic cluster headaches.
Patients And Methods: The demographic characteristics of 30 patients who received GON blockade along with acute attack treatment, short- and long-term prophylactic treatment for cluster headache, and 24 patients who received only acute attack treatment, short- and long-term prophylactic treatment, before blockade treatment, in the 1st week and 1st month after blockade were investigated. Attack frequency, attack duration, and visual analog scale (VAS) variables were compared.
Results: We evaluated the VAS score, daily attack frequency, and duration of pain attacks after repeated GON blockade and found a statistically significant difference in the VAS score, daily attack frequency, duration of pain attacks, average values of the treatment, and time interaction of pain intensity in the group in which GON blockade was applied in the 1st week and 1st month compared to the pre-treatment period (p<0.01), (p<0.01), (p=0.044).
Conclusions: Regarding the outcomes of this research, GON blockade provided significant improvement in pain frequency, attack duration, and VAS score in the period from attack treatment to the start of long-term prophylaxis treatment and one month after treatment, without the need to switch to different prophylaxis treatments. Therefore, GON blockade may be a preferable and reliable treatment option.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.26355/eurrev_202408_36669 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Effectiveness of greater occipital nerve blockade in chronic cluster headache.
Eur Rev Med Pharmacol Sci
August 2024
Department of Neurology, Baskent Unıversity, Hospital Konya, Selçuklu, Turkey.
Objective: Greater occipital nerve (GON) blockade injections can be used to prevent episodic and chronic cluster headaches. In recent studies, prophylactic treatment has been used in addition to the GON blockade. In this study, we aimed to elucidate the effect of GON blockade on the attack frequency, pain intensity, and duration in patients diagnosed with chronic cluster headaches.
View Article and Find Full Text PDFComparison of Greater Occipital Nerve Blockade and Sphenopalatine Ganglion Blockade in Patients with Episodic Migraine.
J Clin Med
May 2024
Department of Anesthesiology and Reanimation, Division of Pain Medicine, Ankara University School of Medicine, Ankara 06230, Turkey.
Article Synopsis
- * Both treatments resulted in significant improvements in pain severity, headache duration, frequency of headaches, and reduced need for medication, but GON blocks were notably more effective.
- * By the third month, patients receiving GON blocks experienced a greater reduction in headache intensity and disability compared to those receiving SPG blocks, indicating that GON block may be the more effective option for managing episodic migraines.
Comparison of the clinical efficacy of ultrasound-guided GON blockade using low and high concentrations of bupivacaine in chronic migraine.
Turk J Med Sci
May 2024
Department of Anesthesiology and Reanimation, Ankara Atatürk Sanatoryum Training and Research Hospital, University of Health Sciences, Ankara, Turkiye.
Background/aim: In this study, it was aimed to retrospectively compare the effect of greater occipital nerve (GON) block performed with ultrasonography using low (0.3%) and high (0.5%) concentrations of bupivacaine on pain scores and patient satisfaction in chronic migraine (CM).
View Article and Find Full Text PDFComparison of greater occipital nerve blockade with radiofrequency and steroid in chronic migraine.
Clin Neurol Neurosurg
July 2024
Ministry of Health Ankara Training and Research Hospital, Ulucanlar Street No:89 Altındag/Ankara, Hacettepe District, Turkey.
Objectives: The study aims to retrospectively compare steroid and radiofrequency treatments for the greater occipital nerve(GON) under ultrasound guidance in chronic migraine.
Methods: Monthly average headache attack frequency, attack duration, visual analog scale(VAS) and the number of days analgesics were taken were recorded. Under ultrasound guidance, GON block was administered once a week for a total of four sessions.
The effect of anesthetic blockade of greater occipital nerve during the withdrawal period of the medication overuse headache treatment.
Ideggyogy Sz
March 2024
Prof. Dr. Cemil Tascioglu City Hospital, Neurology Department, Istanbul, Turkey.
Background And Purpose:
Discontinuation of medication still remains a key element in the treatment of medication overuse headache (MOH), but there is no consensus on the withdrawal procedure. We aimed to share the promising results of anesthetic blockade of greater occipital nerve (GON), which can be an alternative to existing treatments during the early withdrawal period of MOH treatment.
. View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!