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Greater Occipital Nerve Block

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1. Ultrasound Greater Occipital Nerve Block at C2 Level Compared to Landmark-based Greater Occipital Nerve Block

Ultrasound Greater Occipital Nerve Block at C2 Level Compared to Landmark-based Greater Occipital Nerve Block Ultrasound Greater Occipital Nerve Block at C2 Level Compared to Landmark-based Greater Occipital Nerve Block - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (...) (100). Please remove one or more studies before adding more. Ultrasound Greater Occipital Nerve Block at C2 Level Compared to Landmark-based Greater Occipital Nerve Block The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier

2018 Clinical Trials

2. Ultrasound-guided greater occipital nerve block with botulinum toxin for patients with chronic headache in the occipital area: a randomized controlled trial. Full Text available with Trip Pro

Ultrasound-guided greater occipital nerve block with botulinum toxin for patients with chronic headache in the occipital area: a randomized controlled trial. Ultrasound-guided greater occipital nerve (GON) block has been frequently used to treat various types of headaches, and botulinum toxin has recently begun to be used in patients with headache. Our study presents the long-term effect of botulinum toxin on GON block using ultrasound in patients with chronic headache in occipital (...) area.Patients with occipital headache were divided into two groups (bupivacaine: BUP group [n = 27], botulinum toxin: BTX group [n = 27]), and ultrasound-guided GON block was performed at the C2 level. GON was detected with ultrasound and distance from GON to midline, from the skin surface to GON, and size of GON were measured in both groups. Visual analogue scale (VAS) scores and Likert scale were assessed at pretreatment and at 1, 4, 8, and 24 weeks after treatment in both groups.The distance from GON

2019 Korean journal of anesthesiology Controlled trial quality: uncertain

3. Comparing the injectate spread and nerve involvement between different injectate volumes for ultrasound-guided greater occipital nerve block at the C2 level: a cadaveric evaluation Full Text available with Trip Pro

Comparing the injectate spread and nerve involvement between different injectate volumes for ultrasound-guided greater occipital nerve block at the C2 level: a cadaveric evaluation The spread patterns between different injectate volumes have not yet been investigated in ultrasound-guided greater occipital nerve (GON) block at the C2 level. This cadaveric study was undertaken to compare the spread pattern and nerve involvements of different volumes of dye using this technique.After randomization (...) , ultrasound-guided GON blocks with 1 or 5 mL dye solution were performed at the C2 level on the right or left side of five fresh cadavers. The suboccipital regions were dissected, and nerve involvement was investigated.Ten injections were successfully completed. In all cases of 5 mL dye, we observed the deeply stained posterior neck muscles, including the suboccipital triangle space. The suboccipital and third occipital nerves, in addition to GONs, were consistently stained when 5-mL dye was used in all

2018 Journal of pain research

4. Influence of patient positioning on reported clinical outcomes after greater occipital nerve block for treatment of headache: Results from prospective single-centre, non-randomised, proof-of-concept study. Full Text available with Trip Pro

Influence of patient positioning on reported clinical outcomes after greater occipital nerve block for treatment of headache: Results from prospective single-centre, non-randomised, proof-of-concept study. Greater occipital nerve (GON) block is a treatment option applied for a variety of primary headache disorders. Although a patient's body position is known to have an impact on the effect of local anaesthetics, this has not before been investigated for patients undergoing GON block. Therefore (...) , the clinical effectiveness of either a sitting or supine position was assessed.This evaluative prospective study took place in a single neurology department in the UK. Baseline and follow-up data were collated during standard clinic consultations for 95 consecutive patients who underwent GON block and follow-up consultations for treatment-refractory headache disorder. The GON block procedure was identical for all patients in terms of constitution of the applied medication and volume injected (lidocaine

2019 Clinical neurology and neurosurgery Controlled trial quality: uncertain

5. A Randomized, Sham-Controlled Trial of Bilateral Greater Occipital Nerve Blocks With Bupivacaine for Acute Migraine Patients Refractory to Standard Emergency Department Treatment With Metoclopramide. (Abstract)

A Randomized, Sham-Controlled Trial of Bilateral Greater Occipital Nerve Blocks With Bupivacaine for Acute Migraine Patients Refractory to Standard Emergency Department Treatment With Metoclopramide. Greater occipital nerve block (GONB) is thought to be an effective treatment for acute migraine, though no randomized efficacy data have been published for this indication. We hypothesized that bilateral GONB with bupivacaine would provide greater rates of headache freedom than a sham injection

2018 Headache Controlled trial quality: predicted high

6. Neurophysiological correlates of clinical improvement after greater occipital nerve (GON) block in chronic migraine: relevance for chronic migraine pathophysiology Full Text available with Trip Pro

Neurophysiological correlates of clinical improvement after greater occipital nerve (GON) block in chronic migraine: relevance for chronic migraine pathophysiology Therapeutic management of Chronic Migraine (CM), often associated with Medication Overuse Headache (MOH), is chiefly empirical, as no biomarker predicting or correlating with clinical efficacy is available to address therapeutic choices. The present study searched for neurophysiological correlates of Greater Occipital Nerve Block

2018 The journal of headache and pain

7. Comparison of Therapeutic Effects of Greater Occipital Nerve Block, Topiramate, and Flunarizine on Episodic Migraine

Comparison of Therapeutic Effects of Greater Occipital Nerve Block, Topiramate, and Flunarizine on Episodic Migraine Comparison of Therapeutic Effects of Greater Occipital Nerve Block, Topiramate, and Flunarizine on Episodic Migraine - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number (...) of saved studies (100). Please remove one or more studies before adding more. Comparison of Therapeutic Effects of Greater Occipital Nerve Block, Topiramate, and Flunarizine on Episodic Migraine The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details

2018 Clinical Trials

8. Efficacy of bilateral greater occipital nerve block in postdural puncture headache: a narrative review Full Text available with Trip Pro

Efficacy of bilateral greater occipital nerve block in postdural puncture headache: a narrative review The Epidural blood patch is considered the gold standard for managing postdural puncture headache when supportive measures fail. However, it is a procedure which can lead to another inadvertent dural puncture. Other potential adverse events that could occur during a blood patch are meningitis, neurological deficits, and unconsciousness. The bilateral greater occipital nerve block has been used

2018 The Korean journal of pain

9. Greater occipital nerve blocks as migraine therapy: A discussion of two recent randomized, double-blinded, placebo-controlled clinical trials. Full Text available with Trip Pro

Greater occipital nerve blocks as migraine therapy: A discussion of two recent randomized, double-blinded, placebo-controlled clinical trials. 26700186 2018 08 27 2018 12 02 1468-2982 36 11 2016 10 Cephalalgia : an international journal of headache Cephalalgia Greater occipital nerve blocks as migraine therapy: A discussion of two recent randomized, double-blinded, placebo-controlled clinical trials. 1094 10.1177/0333102415623072 Solomon Seymour S Montefiore Medical Center/Albert Einstein (...) College of Medicine Headache Center, USA. eng Journal Article Comment 2016 07 20 England Cephalalgia 8200710 0333-1024 IM Cephalalgia. 2016 Oct;36(11):1095 26873257 Cephalalgia. 2015 Oct;35(11):959-68 25505035 Acta Neurol Scand. 2015 Oct;132(4):270-7 25765043 Double-Blind Method Humans Migraine Disorders Nerve Block Spinal Nerves Treatment Outcome 2015 12 25 6 0 2018 8 28 6 0 2015 12 25 6 0 ppublish 26700186 0333102415623072 10.1177/0333102415623072

2018 Cephalalgia : an international journal of headache Controlled trial quality: predicted high

10. Ultrasound-guided Greater Occipital Nerve Block in Children Undergoing Posterior Fossa Craniotomy

Ultrasound-guided Greater Occipital Nerve Block in Children Undergoing Posterior Fossa Craniotomy Ultrasound-guided Greater Occipital Nerve Block in Children Undergoing Posterior Fossa Craniotomy - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove (...) one or more studies before adding more. Ultrasound-guided Greater Occipital Nerve Block in Children Undergoing Posterior Fossa Craniotomy The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03762343 Recruitment Status : Active, not recruiting First Posted : December 3, 2018 Last Update Posted

2018 Clinical Trials

11. Efficacy and safety of Greater Occipital Nerve-Block (GON-B) in different types of headache: a systematic review

Efficacy and safety of Greater Occipital Nerve-Block (GON-B) in different types of headache: a systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated

2020 PROSPERO

12. Comparison of two ultrasound-guided techniques for greater occipital nerve injections in chronic migraine: a double-blind, randomized, controlled trial (Abstract)

Comparison of two ultrasound-guided techniques for greater occipital nerve injections in chronic migraine: a double-blind, randomized, controlled trial Two ultrasound (US)-guided techniques for greater occipital nerve (GON) block have been described for the management of headache disorders: a "proximal or central" technique targeting the GON at the level of the second cervical vertebra and a "distal or peripheral" technique targeting the GON at the level of the superior nuchal line (...) . In this multicenter, prospective, randomized control trial, we compared accuracy, effectiveness, and safety of these two techniques in patients with chronic migraines (CMs).Forty patients with refractory CMs were randomized to receive either a proximal or distal US-guided GON block with bupivacaine and methylprednisolone acetate. The primary outcome was the difference in Numerical Rating Score (NRS) for headache intensity at 1 month. Secondary outcomes were effectiveness, performance, and safety-related

2019 EvidenceUpdates

13. Greater Occipital Nerve Block Versus Metoclopramide

Greater Occipital Nerve Block Versus Metoclopramide Greater Occipital Nerve Block Versus Metoclopramide - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Greater Occipital Nerve Block Versus Metoclopramide (...) by (Responsible Party): Benjamin W. Friedman, MD, Montefiore Medical Center Study Details Study Description Go to Brief Summary: We are comparing a type of nerve block called greater occipital nerve block versus standard therapy among patients who present to an emergency department for acute migraine. This is a randomized, double-blind, double dummy study. The greater occipital nerve block will be performed bilaterally with bupivacaine 0.5%. Standard therapy is metoclopramide 10mg IV. Condition or disease

2017 Clinical Trials

14. A Research Study of Greater Occipital Nerve Block as a Treatment for Acute Migraine Attacks

A Research Study of Greater Occipital Nerve Block as a Treatment for Acute Migraine Attacks A Research Study of Greater Occipital Nerve Block as a Treatment for Acute Migraine Attacks - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more (...) studies before adding more. A Research Study of Greater Occipital Nerve Block as a Treatment for Acute Migraine Attacks The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03159000 Recruitment Status : Recruiting First Posted

2017 Clinical Trials

15. Greater Occipital Nerve Block

Greater Occipital Nerve Block Greater Occipital Nerve Block Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Greater Occipital Nerve (...) Block Greater Occipital Nerve Block Aka: Greater Occipital Nerve Block , Occipital Nerve Block , Occipitalis Major Nerve Block II. Indications or Occipital Neuralgia Chronic Cervicogenic or III. Anatomy: Landmarks Landmarks External occipital protuberance Midline occipital highest point (inion) on the posterioroinferior occiput of the skull Insertions for both the nuchal ligament and the trapezius Mastoid process Posterior to the external acoustic meatus Draw a line between the External occipital

2018 FP Notebook

16. Management of refractory chronic migraine using ultrasound-guided pulsed radiofrequency of greater occipital nerve: Two case reports. Full Text available with Trip Pro

Management of refractory chronic migraine using ultrasound-guided pulsed radiofrequency of greater occipital nerve: Two case reports. Although various oral medications and procedures are applied for managing migraine, their efficacy remains limited. To control migraine that does not respond to conventional treatments, we conducted pulsed radiofrequency (PRF) stimulation to the greater occipital nerve (GON) in 2 patients.Patients 1 and 2 complained of chronic throbbing, pulsating, and tight (...) headaches. Their headache intensities scored 8 and 7 on a numeric rating scale (NRS), respectively. Patient 1 experienced the headache bilaterally in the frontal, retro-orbital, parietal, and occipital regions. The initial onset of the symptoms was more than 15 years ago. Patient 2 complained of headaches in the left frontal, retro-orbital, parietal, and occipital regions, which occurred first more than 14 years ago.According to the International Classification of Headache Disorder-3 beta criteria

2018 Medicine

17. Greater Occipital and Supraorbital Nerve Blockade in Migraine Patients

Greater Occipital and Supraorbital Nerve Blockade in Migraine Patients Greater Occipital and Supraorbital Nerve Blockade in Migraine Patients - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Greater (...) by (Responsible Party): Cem Bölük, Dr.Lütfi Kırdar Kartal Eğitim ve Araştırma Hastanesi Study Details Study Description Go to Brief Summary: The investigators aimed to evaluate the efficacy of greater occipital nerve and supraorbital nerve blockade with local anesthetics for the preventive treatment of migraine without aura. Condition or disease Intervention/treatment Migraine Disorders Procedure: Lidocaine injections Procedure: Saline injections Study Design Go to Layout table for study information Study

2018 Clinical Trials

18. Effectiveness of treatment of occipital neuralgia using the nerve block technique: a prospective analysis of 44 patients Full Text available with Trip Pro

Effectiveness of treatment of occipital neuralgia using the nerve block technique: a prospective analysis of 44 patients There is a great deal of tools for treatment of occipital neuralgia but currently we are lacking a complete consensus among practitioners regarding the optimal approach to this debilitating condition. Occipital nerve block (ONB) is known as one of the management options but there is lack of scientific literature exploring its effectiveness.The prospective study was undertaken (...) between March 2014 and February 2018 at the State Vilnius University Hospital. Forty-four patients aged from 28 to 84 years (age mean = 56.30 ± 14.71) of which 79.55% were female (n = 35) were diagnosed with occipital neuralgia (ON) and treated with a local anaesthetic and corticosteroids combination injection into the greater or greater plus lesser occipital nerve (n = 29 and n = 15, respectively) and followed up after 6 months. Analysis of the outcomes of those patients was done by comparing

2018 Acta Medica Lituanica

19. Greater Occipital Nerve Block

Greater Occipital Nerve Block Greater Occipital Nerve Block Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Greater Occipital Nerve (...) Block Greater Occipital Nerve Block Aka: Greater Occipital Nerve Block , Occipital Nerve Block , Occipitalis Major Nerve Block II. Indications or Occipital Neuralgia Chronic Cervicogenic or III. Anatomy: Landmarks Landmarks External occipital protuberance Midline occipital highest point (inion) on the posterioroinferior occiput of the skull Insertions for both the nuchal ligament and the trapezius Mastoid process Posterior to the external acoustic meatus Draw a line between the External occipital

2017 FP Notebook

20. Greater Occipital Nerve Treatment in the Management of Spontaneous Intracranial Hypotension Headache: A Case Report. (Abstract)

Greater Occipital Nerve Treatment in the Management of Spontaneous Intracranial Hypotension Headache: A Case Report. Clinical presentation of spontaneous intracranial hypotension headache (SIHH) has similarities with postdural puncture headache (PDPH). Recommended treatment for both conditions is an epidural blood patch. Successful outcomes following greater occipital nerve blocks have been reported in the management of PDPH. We present the first report of greater occipital nerve treatment (...) in SIHH.A 40-year-old male presented with a 2-year history of daily postural headaches having a significant impact on quality of life. Magnetic resonance imaging revealed bilateral convexity subdural collections. Post gadolinium scan revealed pachymeningeal enhancement with reduced pontomesencephalic angle below 50 degrees. The patient was offered an epidural blood patch and greater occipital nerve block with corticosteroids. The patient chose occipital nerve block.The patient reported significant short

2017 Headache

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