Greater Occipital Nerve Injection versus Oral Steroids for Short Term Prophylaxis of Cluster Headache: A Retrospective Comparative Study

Headache
Jerry Wei, Matthew S Robbins

Abstract

To investigate our experience with oral steroid and greater occipital nerve (GON) injection with steroid as transitional treatments for cluster headache. Cluster headache is a primary headache disorder characterized by multiple episodes of intense unilateral pain with autonomic features. During cluster headache attacks, transitional therapies are useful while prophylactic dosages are initiated or increased. There are limited data comparing the efficacy of oral versus injected transitional treatments. We retrospectively reviewed charts for patients evaluated with cluster headache at our center and captured episodes of transitional therapy utilized from 1995 to 2014. Treatment benefit was categorized into complete, partial, or no response. Forty-three patients received transitional therapy over a total of 151 encounters, of which 140 were available for analysis. Encounters featured oral steroids (81, 57.9%) and GON injection (59, 42.1%). Of the 40 patients with treatment response data available, 24 patients received only one type of transitional therapy and 16 patients received both therapies. More encounters featuring oral steroids versus GON injections led to at least a partial response (82.7% vs 64.4%) and to a lesser extent a...Continue Reading

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Citations

May 6, 2019·Expert Review of Neurotherapeutics·János TajtiLászló Vécsei
Mar 21, 2019·Current Opinion in Neurology·Delphine Magis
Jul 11, 2019·Headache·Rashmi B Halker SinghMatthew S Robbins
Mar 31, 2021·Nature Reviews. Neurology·Diana Y Wei, Peter J Goadsby
May 29, 2021·Continuum : Lifelong Learning in Neurology·Stephanie J Nahas
May 29, 2021·Continuum : Lifelong Learning in Neurology·Matthew S Robbins

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