Tracking patients with chronic occipital headache after occipital nerve decompression surgery: A case series

Cephalalgia : an International Journal of Headache
Pamela BlakeRami Burstein

Abstract

The therapeutic benefit of nerve decompression surgeries for chronic headache/migraine are controversial. To provide clinical characteristics of headache type and treatment outcome of occipital nerve decompression surgery. A retrospective review of clinical records. Inclusion criteria were evidence of chronic occipital headache with and without migrainous features and tenderness of neck muscles, occipital allodynia, and inadequate response to prophylactic drugs. Surgical decompression of the greater and lesser occipital nerves provided complete and extended (3-6 years) relief of new daily persistent headache in case 3 (46 year old female), and of chronic post-traumatic headache in cases 4 and 6 (35 and 30 year old females, respectively), partial relief of chronic headache/migraine in cases 1 and 2 (41 year old female and 36 year old male), and no relief of episodic (cases 3 and 4) or chronic migraine (case 5, 52 year old male), or chronic tension-type headache (case 7, 31 year old male). As a case series, this study cannot test a hypothesis or determine cause and effect. However, the complete elimination of new daily persistent headache and post-traumatic headache, and the partial elimination of chronic headache/migraine in two...Continue Reading

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Citations

Jul 4, 2019·The Journal of Headache and Pain·Pamela Blake, Rami Burstein
Mar 20, 2019·Current Neurology and Neuroscience Reports·Emily J Riddle, Jonathan H Smith
Mar 3, 2021·Annals of Plastic Surgery·Isabel S RobinsonErnest S Chiu
Jan 2, 2021·Journal of Neurological Surgery. Part A, Central European Neurosurgery·Byung-Chul Son
May 19, 2021·Neurology India·Christine E WamsleyBardia Amirlak

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Methods Mentioned

BETA
biopsies
dissection

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