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Original Article

Clinical Pain 2019; 18(1): 24-30

Published online June 30, 2019

Copyright © Korean Association of Pain Medicine.

Ultrasound-Guided Greater Occipital Nerve Block for Primary Headache: Comparison of Two Techniques by Anatomical Injection Site

일차성 두통에서 초음파 유도 하 후두신경 차단술: 해부학적 주사부위에 따른 두 가지 테크닉의 비교

Myung Chul Yoo, M.D.1,2, Hee-Sang Kim, M.D., Ph.D.2,3, Jong Ha Lee, M.D., Ph.D.2,3, Seung Don Yoo, M.D., Ph.D.1,2, Dong Hwan Yun, M.D., Ph.D.2,3, Dong Hwan Kim, M.D., Ph.D.1,2, Seung Ah Lee, M.D., Ph.D.1,2, Yunsoo Soh, M.D., Ph.D.2,3, Yong Kim, M.D.2,3, Young Rok Han, M.D., Ph.D.1,2, Jung Ho Kwon, M.D.2,3, Haneul Jang, M.D.2,3 and Jinmann Chon, M.D., Ph.D.2,3

유명철1,2ㆍ김희상2,3ㆍ이종하2,3ㆍ유승돈1,2ㆍ윤동환2,3ㆍ김동환1,2ㆍ이승아1,2소윤수2,3ㆍ김 용2,3ㆍ한영록1,2ㆍ권정호2,3ㆍ장하늘2,3ㆍ전진만2,3

1Department of Physical Medicine & Rehabilitation, Kyung Hee University Hospital at Gangdong, 2Department of Physical Medicine & Rehabilitation, College of Medicine, Kyung Hee University, 3Department of Physical Medicine & Rehabilitation, Kyung Hee Medical Center, Seoul, Korea

강동경희대학교병원 재활의학과1, 경희대학교 의과대학 재활의학교실2, 경희의료원 재활의학과3

Received: September 19, 2018; Accepted: October 12, 2018

Abstract

Objective: Greater occipital nerve block (GONB) is a widely accepted treatment of primary headaches. Two ultrasound (US)-guided blockade techniques exist: 1) the classical distal nerve block technique performed medial to the occipital artery at the superior nuchal line, and 2) the new proximal nerve block technique performed at the obliquus capitis inferior muscle at the level of C2. Our study aim was to perform a head-to-head comparative study of these two US-guided techniques. Method: Forty-nine patients with primary headache treated in our university hospital were recruited. Patients were randomized into two groups of the classical nerve block and the new proximal nerve block techniques. The headache questionnaire was made to assess the intensity of the pain of headache attacks, number of days they experience headache, duration of headache, and amount of pain medication they consumed. Results: In both groups, a decrease in the severity and frequency of the headache was observed. There was no measurable difference in outcome between the two groups. Conclusion: Our study showed that the classic and new proximal techniques are equally effective in decreasing the headache severity and frequency.

KeywordsGreater occipital nerve, Primary headache, Ultrasound-guided blockade

Korean Association of Pain Medicine

Vol.22 No.2
December 2023

eISSN: 2765-5156

Frequency: Semi Annual

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