PMID: 7537725Feb 1, 1995Paper

Referred ocular pain relieved by suboccipital injection

Headache
B D Ellis, G S Kosmorsky

Abstract

Pain originating from ophthalmic disease has been well documented. A series of patients presenting with eye or periorbital pain attributed to cervical region dysfunction were diagnosed and treated with injections of subcutaneous lidocaine followed by triamcinolone acetonide. Twelve patients, 11 women and 1 man, ranging in age from 20 to 82 years had an evaluation including a complete eye examination, and laboratory tests and neuroimaging as dictated by the history to exclude structural abnormalities or systemic disease. All patients had marked focal suboccipital tenderness ipsilateral to the side of their headache and eye pain. A subcutaneous injection with 2% lidocaine followed by triamcinolone acetonide 40 mg was administered directly to the site of focal tenderness. After injection, five patients described total relief of pain, five patients described some degree of pain relief, and two patients had no relief of headache. Duration of pain relief ranged from several hours to 3 months. Patients may present with periorbital or eye pain as a result of disease affecting the cervical sensory roots with subsequent stimulation of the trigeminal apparatus. Subcutaneous injection of lidocaine and triamcinolone acetonide may be of help...Continue Reading

Citations

May 12, 2005·HNO·M Hülse, K Seifert
May 24, 2005·Current Pain and Headache Reports·Thorsten Bartsch
Jan 1, 2008·Neuromodulation : Journal of the International Neuromodulation Society·Terrence L TrentmanDavid W Dodick
Dec 24, 1998·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·B T Brofeldt, E A Panacek
Aug 11, 2005·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·A PaluzziJ Wasserberg
Dec 14, 1999·Cephalalgia : an International Journal of Headache·J N Blau
Dec 3, 2003·Journal of Pain & Palliative Care Pharmacotherapy·Paul A Sloan, Asha Kancharla
May 8, 2002·Cephalalgia : an International Journal of Headache·C AprillN Bogduk

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