• 제목/요약/키워드: third occipital nerve

검색결과 6건 처리시간 0.03초

후두신경통과 신경차단 (The Effects of Nerve Blocks in the Management of Occipital Neuralgia)

  • 정의택;최홍철;임소영;신근만;홍순용;최영룡;정용중
    • The Korean Journal of Pain
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    • 제9권2호
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    • pp.390-394
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    • 1996
  • Background: Occipital neuralgia is characterized by pain, usually deep and aching, in the distribution the second and/or third cervical dorsal root. Two broad groups of patients include primary occipital neuralgia with no apparent etiology and secondary neuralgia with structural pathology. Patients with occipital neuralgia can develop autonomic changes and hyperesthesia. In patients who have not improved with conservative treatment, we have carried out various nerve blocks and evaluated the effectiveness. Methods: In a series of 20 occipital neuralgia patients with no apparent etiolgy, we have carried out great occipital nerve blocks with needle TEAS. In patients who have not improved more than 75% on VAS with great occipital block, we have carried out C2 ganglion blocks and in patients who have not improved more than 75% with C2 ganglion block, C3 root blocks, C2/C3 facet joint blocks have been carried out in due order. Results: In 3 patients out of 10 patients who have not improved with great occipital nerve block, C2 ganglion block led to pain relief. A good response of C3 root block was achived in 2 of 7 patients without response to C2 ganglion block and C2/C3 facet joint block led to improvement in 1 of 5 patients without response to C3 root block. Conclusions: Nerve blocks like great occipital nerve block, C2 ganglion block, C3 root block, or C2/C3 facet joint block were effective in the patients who have not improved with conservative treatment.

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방사선 구개상을 이용한 제3 후두 신경 고주파신경절개술의 시행 -증례보고- (Third Occipital Nerve Radiofrequency Neurotomy with Radiologic Open Mouth View -A case report-)

  • 박정주;정미애;심재철
    • The Korean Journal of Pain
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    • 제19권2호
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    • pp.244-248
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    • 2006
  • Radiofrequency lesioning is a valuable tool for third occipital headache. Relative to most neural targets, a radiofrequency lesion is very small. Reliable pre-operative diagnosis of the nociceptive source is critical, as inappropriately placed lesions will not modulate pain. Knowledge of the anatomical courses of nerves and extremely precise electrode placement are required for accurate lesioning. This report describes our experience with RF lesioning in the treatment of chronic pain in two patients who suffered from third occipital headaches. In one patient, satisfactory improvement of the pain was observed after 10 months of follow up.

경추성 두통 환자에서 제3 후두신경의 양극탐침을 이용한 박동 성 고주파 신경차단술 - 증례보고 - (Bipolar Pulsed Radiofrequency Denervation of Third Occipital Nerve in Patient with Cervicogenic Headache - A case report -)

  • 이숙영;심우석;이상민;장인영
    • The Korean Journal of Pain
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    • 제21권2호
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    • pp.150-154
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    • 2008
  • Pulsed or conventional radiofrequency (RF) denervation of the third occipital nerve (TON) is considered to be a safe and effective alternative for the treatment of pain originating from the cervical 2-3 facet joint, including cervicogenic headache. However, proper positioning of the RF probe in the TON can be difficult and time consuming due to the possible involvement of various lesions along the target nerve. We found that bipolar RF is easier to perform and more convenient than unipolar RF when administering a lumbar medial branch block. Here, we report the successful treatment of a patient with a cervicogenic headache by pulsed RF (PRF) denervation of the TON, using a bipolar probe. We believe that bipolar PRF denervation of the TON is an effective alternative to unipolar RF or PRF for the treatment of pain originating from the cervical 2-3 facet joint.

Sensory Complications in Patients after Scalp Mass Excision and Its Anatomical Considerations

  • Yang, Jin Seo;Choi, Hyuk Jai;Cho, Yong Jun;Kang, Suk Hyung
    • Journal of Korean Neurosurgical Society
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    • 제55권4호
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    • pp.200-204
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    • 2014
  • Objective : To evaluate the incidence of postsurgical sensory complications in patients with scalp masses and classify the locations of them from a surgical standpoint according to anatomical considerations. Methods : A total of 121 patients who underwent surgery for scalp mass were included in this study. The authors reviewed medical records and preoperative radiologic images. We investigated the complications related to sensory changes after procedure. Enrolled patients have been divided into three groups. Group A included patients with tumors above the superior nuchal line (SNL), Group B with tumors within the trapezius muscle area and patients who had tumors on the lateral trapezius muscle area were assigned to Group C. We compared the incidence related to postoperative sensory complications and summarized their additional treatments for these with clinical outcome. Results : There were 12 patients (10%) with sensory complications related on the mass excision site (Group A : 1 patient, Group B : 2 patients, Group C : 9 patients). Six patients were affected with lesser occipital nerve (LON), 2 patients on greater occipital nerve (GON) and 4 patients on GON and LON. Over 6 months after surgery, two of the twelve patients with sensory complications did not have complete recovered pain in spite of proper medications and local chemical neurolysis with 1.0% lidocaine and dexamethasone. Conclusion : Occipital neuropathy should be considered as a complication related excision of scalp mass. The sensory complications are more frequent in Group C because of the anatomical characteristics of the occipital nerves and there were no statistical difference for other variables.

Ultrasound-guided Pulsed Radiofrequency of the Third Occipital Nerve

  • Kim, Eung Don;Kim, Young Hoon;Park, Chong Min;Kwak, Jung Ah;Moon, Dong Eon
    • The Korean Journal of Pain
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    • 제26권2호
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    • pp.186-190
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    • 2013
  • A C2-3 zygapophygeal joint is a major source of cervicogenic headache. Radiofrequency (RF) neurotomy is preformed widely for zygapophygeal joint pain. Conventional RF denervation technique is generally performed under fluoroscopic control. Recently, ultrasound-guided radiofrequency on zygapophygeal joint has emerged as an alternative method. We report our experiences of two successful ultrasound-guided pulsed radiofrequencies on 39-year-old and 42-year-old males, who complained occipital headache and posterior neck pain.

경추부의 초음파 적용: 임상화보 (Musculoskeletal Ultrasound Application in Cervical Spine: Pictorial Essay)

  • 윤용순;이정후;김은실;이광재
    • Clinical Pain
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    • 제20권2호
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    • pp.74-85
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    • 2021
  • Ultrasound (US) can depict of various anatomical structures, such as muscles, tendons, ligaments, nerve roots, and vessels, around the neck. The usage of US around the neck is increasing due to its quick and easy application for guided injection for nerves, tendons, and joints. This article elaborates the degenerative diseases causing neck pain, sonoanatomy, and the use of US for diagnosis and intervention; for example, small nerves around the neck, cervical root, stellate ganglion, medial branches, greater occipital nerve (GON), and third occipital nerve (TON). The aim of this review article is to lead readers to understand the anatomy around the neck and structural relations, and to get to know about several US-guided intervention of the neck.