The anatomy of the greater occipital nerve: Part II. Compression point topography

Plastic and Reconstructive Surgery
Jeffrey E JanisBahman Guyuron

Abstract

Advances in the understanding of migraine trigger points have pointed to entrapment of peripheral nerves in the head and neck as a cause of this debilitating condition. An anatomical study was undertaken to develop a greater understanding of the potential entrapment sites along the course of this nerve. The posterior neck and scalp of 25 fresh cadaveric heads were dissected. The greater occipital nerve was identified within the subcutaneous tissue above the trapezius and traced both proximal and distal. Its fascial, muscular, and vascular investments were located and accurately measured relative to established bony landmarks. Dissection of the greater occipital nerve revealed six major compression points along its course. The deepest (most proximal) point was between the semispinalis and the obliquus capitis inferior, near the spinous process. The second point was at its entrance into the semispinalis. The previously described "intermediate" point was at the nerve's exit from the semispinalis. A fourth point was located at the entrance of the nerve into the trapezius muscle. The fifth point of compression is where the nerve exits the trapezius fascia insertion into the nuchal line. The occipital artery often crosses the nerve, ...Continue Reading

References

Jan 1, 1992·Clinical Neurology and Neurosurgery·M Anthony
Apr 1, 1967·Headache·E E Chouret
Sep 1, 1983·The Journal of Hand Surgery·W W Eversmann
Feb 1, 1995·Cephalalgia : an International Journal of Headache·C G Dahlöf, E Dimenäs
Feb 1, 1997·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·M M al-Qattan
Oct 1, 1998·The Journal of the American Academy of Orthopaedic Surgeons·M A Posner
Dec 29, 1998·Science·R A Lovett
Aug 6, 1994·PharmacoEconomics·R B LiptonM Von Korff
Dec 8, 1996·PharmacoEconomics·G D Solomon, K L Price
Nov 24, 1999·The Journal of Bone and Joint Surgery. American Volume·D RempelG Lundborg
Jun 5, 2002·Plastic and Reconstructive Surgery·Bahman GuyuronJanine Davis
May 29, 2003·The Journal of Hand Surgery·Ramon De Jesus, A Lee Dellon
Jul 19, 2003·Seminars in Neurology·John B Ward
Dec 26, 2003·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Mrinalini Konjengbam, James Elangbam
Apr 6, 2005·Plastic and Reconstructive Surgery·Hamid Tehrani
Jul 29, 2005·Nature Genetics
Apr 29, 2006·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·L J StovnerJ Pascual
Aug 19, 2007·Clinical Therapeutics·Frederick G Freitag
Apr 2, 2008·Critical Care Medicine·Gary An, Michael A West

❮ Previous
Next ❯

Citations

Jun 6, 2013·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Michelle LeeBahman Guyuron
Jul 3, 2013·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Alexandra JunewiczBahman Guyuron
Dec 3, 2010·Plastic and Reconstructive Surgery·Jeffrey E JanisBahman Guyuron
Feb 3, 2011·Plastic and Reconstructive Surgery·Jeffrey E Janis
Jun 28, 2011·Plastic and Reconstructive Surgery·Yeon Soo Kim
Mar 1, 2013·Plastic and Reconstructive Surgery·Lauren ChmielewskiBahman Guyuron
Mar 1, 2013·Plastic and Reconstructive Surgery·Fu-Chan Wei, Joseph H Dayan
Dec 20, 2012·Plastic and Reconstructive Surgery·Jeffrey E JanisT Jonathan Kurkjian
Apr 2, 2013·Plastic and Reconstructive Surgery·Michelle LeeBahman Guyuron
Jul 1, 2012·Anesthesiology and Pain Medicine·Devra Becker, Bardia Amirlak
May 14, 2011·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Bommie F SeoHo Kwon
Aug 27, 2016·Advanced Biomedical Research·Mahmood OmranifardMohsen Talebianfar
May 26, 2017·Plastic and Reconstructive Surgery·Mona AschaBahman Guyuron
May 2, 2017·Plastic and Reconstructive Surgery. Global Open·Jeffrey E JanisMarilly Palettas
Nov 22, 2014·Cephalalgia : an International Journal of Headache·Hannes PlatzgummerDoris Lieba-Samal
Dec 22, 2017·Plastic and Reconstructive Surgery. Global Open·Kevin T JubbalAnthony Echo
Sep 27, 2018·Plastic and Reconstructive Surgery·Lisa GfrererWilliam Gerald Austen
Mar 1, 2019·Plastic and Reconstructive Surgery·Bahman Guyuron, Navid Pourtaheri
May 4, 2016·Current Opinion in Otolaryngology & Head and Neck Surgery·Timothy M Osborn
Nov 26, 2019·Techniques in Hand & Upper Extremity Surgery·Facundo ZabaljaureguiPaul Angel Pereira
May 7, 2016·The Journal of Craniofacial Surgery·Hyun Ho HanSuk Ho Moon
Mar 29, 2016·Plastic and Reconstructive Surgery·Ayesha PunjabiBahman Guyuron
Jan 30, 2015·Plastic and Reconstructive Surgery·Kyle LineberryBahman Guyuron
Mar 29, 2014·Plastic and Reconstructive Surgery·David E KurlanderBahman Guyuron
Jul 4, 2019·The Journal of Headache and Pain·Pamela Blake, Rami Burstein
May 29, 2015·Plastic and Reconstructive Surgery·Bahman GuyuronEdward H Nahabet
Jun 4, 2016·Plastic and Reconstructive Surgery. Global Open·Ziv M PeledSaja Scherer
Sep 24, 2015·Plastic and Reconstructive Surgery·Bahman GuyuronJeffrey E Janis
Jan 5, 2012·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·John Chin-Suk ChoNorman W Kettner
Sep 26, 2014·Plastic and Reconstructive Surgery·Jeffrey E JanisBahman Guyuron
Jun 20, 2014·Plastic and Reconstructive Surgery·Lisa GfrererWilliam G Austen
Dec 26, 2016·Acta neurologica Belgica·Lisa Gfrerer, Bahman Guyuron
Jan 17, 2020·Plastic and Reconstructive Surgery. Global Open·Lisa GfrererJeffrey E Janis
Jul 20, 2019·Plastic and Reconstructive Surgery. Global Open·Ahmed M AfifiNicholas J Albano
Sep 25, 2020·Plastic and Reconstructive Surgery·Lisa GfrererWilliam Gerald Austen
Sep 13, 2018·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Avneesh ChhabraJohn R Zuniga
Mar 25, 2019·Clinical Medicine Insights. Ear, Nose and Throat·J Alexander de RuPeter Jfm Lohuis

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.