Occipital nerve block is effective in craniofacial neuralgias but not in idiopathic persistent facial pain

Abstract Occipital nerve block (ONB) has been used in several primary headache syndromes with good results. Information on its effects in facial pain is sparse. In this chart review, the efficacy of ONB using lidocaine and dexamethasone was evaluated in 20 patients with craniofacial pain syndromes c...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Jürgens, T. P. [verfasserIn] Müller, P. [verfasserIn] Seedorf, H. [verfasserIn] Regelsberger, J. [verfasserIn] May, A. [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2012

Schlagwörter:	Trigeminal neuralgia Facial pain Trigeminal neuropathic pain Occipital nerve block Occipital Neuralgia

Übergeordnetes Werk:	Enthalten in: The journal of headache and pain - Milano : Springer Italia, 2000, 13(2012), 3 vom: 03. März, Seite 199-213
Übergeordnetes Werk:	volume:13 ; year:2012 ; number:3 ; day:03 ; month:03 ; pages:199-213

Links:	Volltext

DOI / URN:	10.1007/s10194-012-0417-x

Katalog-ID:	SPR009078878

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520			\|a Abstract Occipital nerve block (ONB) has been used in several primary headache syndromes with good results. Information on its effects in facial pain is sparse. In this chart review, the efficacy of ONB using lidocaine and dexamethasone was evaluated in 20 patients with craniofacial pain syndromes comprising 8 patients with trigeminal neuralgia, 6 with trigeminal neuropathic pain, 5 with persistent idiopathic facial pain and 1 with occipital neuralgia. Response was defined as an at least 50% reduction of original pain. Mean response rate was 55% with greatest efficacy in trigeminal (75%) and occipital neuralgia (100%) and less efficacy in trigeminal neuropathic pain (50%) and persistent idiopathic facial pain (20%). The effects lasted for an average of 27 days with sustained benefits for 69, 77 and 107 days in three patients. Side effects were reported in 50%, albeit transient and mild in nature. ONBs are effective in trigeminal pain involving the second and third branch and seem to be most effective in craniofacial neuralgias. They should be considered in facial pain before more invasive approaches, such as thermocoagulation or vascular decompression, are performed, given that side effects are mild and the procedure is minimally invasive.
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allfieldsGer	10.1007/s10194-012-0417-x doi (DE-627)SPR009078878 (SPR)s10194-012-0417-x-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.90 bkl Jürgens, T. P. verfasserin aut Occipital nerve block is effective in craniofacial neuralgias but not in idiopathic persistent facial pain 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Occipital nerve block (ONB) has been used in several primary headache syndromes with good results. Information on its effects in facial pain is sparse. In this chart review, the efficacy of ONB using lidocaine and dexamethasone was evaluated in 20 patients with craniofacial pain syndromes comprising 8 patients with trigeminal neuralgia, 6 with trigeminal neuropathic pain, 5 with persistent idiopathic facial pain and 1 with occipital neuralgia. Response was defined as an at least 50% reduction of original pain. Mean response rate was 55% with greatest efficacy in trigeminal (75%) and occipital neuralgia (100%) and less efficacy in trigeminal neuropathic pain (50%) and persistent idiopathic facial pain (20%). The effects lasted for an average of 27 days with sustained benefits for 69, 77 and 107 days in three patients. Side effects were reported in 50%, albeit transient and mild in nature. ONBs are effective in trigeminal pain involving the second and third branch and seem to be most effective in craniofacial neuralgias. They should be considered in facial pain before more invasive approaches, such as thermocoagulation or vascular decompression, are performed, given that side effects are mild and the procedure is minimally invasive. Trigeminal neuralgia (dpeaa)DE-He213 Facial pain (dpeaa)DE-He213 Trigeminal neuropathic pain (dpeaa)DE-He213 Occipital nerve block (dpeaa)DE-He213 Occipital (dpeaa)DE-He213 Neuralgia (dpeaa)DE-He213 Müller, P. verfasserin aut Seedorf, H. verfasserin aut Regelsberger, J. verfasserin aut May, A. verfasserin aut Enthalten in The journal of headache and pain Milano : Springer Italia, 2000 13(2012), 3 vom: 03. März, Seite 199-213 (DE-627)320600963 (DE-600)2020168-0 1129-2377 nnns volume:13 year:2012 number:3 day:03 month:03 pages:199-213 https://dx.doi.org/10.1007/s10194-012-0417-x kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_267 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.90 ASE AR 13 2012 3 03 03 199-213
allfieldsSound	10.1007/s10194-012-0417-x doi (DE-627)SPR009078878 (SPR)s10194-012-0417-x-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.90 bkl Jürgens, T. P. verfasserin aut Occipital nerve block is effective in craniofacial neuralgias but not in idiopathic persistent facial pain 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Occipital nerve block (ONB) has been used in several primary headache syndromes with good results. Information on its effects in facial pain is sparse. In this chart review, the efficacy of ONB using lidocaine and dexamethasone was evaluated in 20 patients with craniofacial pain syndromes comprising 8 patients with trigeminal neuralgia, 6 with trigeminal neuropathic pain, 5 with persistent idiopathic facial pain and 1 with occipital neuralgia. Response was defined as an at least 50% reduction of original pain. Mean response rate was 55% with greatest efficacy in trigeminal (75%) and occipital neuralgia (100%) and less efficacy in trigeminal neuropathic pain (50%) and persistent idiopathic facial pain (20%). The effects lasted for an average of 27 days with sustained benefits for 69, 77 and 107 days in three patients. Side effects were reported in 50%, albeit transient and mild in nature. ONBs are effective in trigeminal pain involving the second and third branch and seem to be most effective in craniofacial neuralgias. They should be considered in facial pain before more invasive approaches, such as thermocoagulation or vascular decompression, are performed, given that side effects are mild and the procedure is minimally invasive. Trigeminal neuralgia (dpeaa)DE-He213 Facial pain (dpeaa)DE-He213 Trigeminal neuropathic pain (dpeaa)DE-He213 Occipital nerve block (dpeaa)DE-He213 Occipital (dpeaa)DE-He213 Neuralgia (dpeaa)DE-He213 Müller, P. verfasserin aut Seedorf, H. verfasserin aut Regelsberger, J. verfasserin aut May, A. verfasserin aut Enthalten in The journal of headache and pain Milano : Springer Italia, 2000 13(2012), 3 vom: 03. März, Seite 199-213 (DE-627)320600963 (DE-600)2020168-0 1129-2377 nnns volume:13 year:2012 number:3 day:03 month:03 pages:199-213 https://dx.doi.org/10.1007/s10194-012-0417-x kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_267 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.90 ASE AR 13 2012 3 03 03 199-213
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topic_facet	Trigeminal neuralgia Facial pain Trigeminal neuropathic pain Occipital nerve block Occipital Neuralgia
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author	Jürgens, T. P.
spellingShingle	Jürgens, T. P. ddc 610 bkl 44.90 misc Trigeminal neuralgia misc Facial pain misc Trigeminal neuropathic pain misc Occipital nerve block misc Occipital misc Neuralgia Occipital nerve block is effective in craniofacial neuralgias but not in idiopathic persistent facial pain
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topic_title	610 ASE 44.90 bkl Occipital nerve block is effective in craniofacial neuralgias but not in idiopathic persistent facial pain Trigeminal neuralgia (dpeaa)DE-He213 Facial pain (dpeaa)DE-He213 Trigeminal neuropathic pain (dpeaa)DE-He213 Occipital nerve block (dpeaa)DE-He213 Occipital (dpeaa)DE-He213 Neuralgia (dpeaa)DE-He213
topic	ddc 610 bkl 44.90 misc Trigeminal neuralgia misc Facial pain misc Trigeminal neuropathic pain misc Occipital nerve block misc Occipital misc Neuralgia
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title	Occipital nerve block is effective in craniofacial neuralgias but not in idiopathic persistent facial pain
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title_full	Occipital nerve block is effective in craniofacial neuralgias but not in idiopathic persistent facial pain
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title_sort	occipital nerve block is effective in craniofacial neuralgias but not in idiopathic persistent facial pain
title_auth	Occipital nerve block is effective in craniofacial neuralgias but not in idiopathic persistent facial pain
abstract	Abstract Occipital nerve block (ONB) has been used in several primary headache syndromes with good results. Information on its effects in facial pain is sparse. In this chart review, the efficacy of ONB using lidocaine and dexamethasone was evaluated in 20 patients with craniofacial pain syndromes comprising 8 patients with trigeminal neuralgia, 6 with trigeminal neuropathic pain, 5 with persistent idiopathic facial pain and 1 with occipital neuralgia. Response was defined as an at least 50% reduction of original pain. Mean response rate was 55% with greatest efficacy in trigeminal (75%) and occipital neuralgia (100%) and less efficacy in trigeminal neuropathic pain (50%) and persistent idiopathic facial pain (20%). The effects lasted for an average of 27 days with sustained benefits for 69, 77 and 107 days in three patients. Side effects were reported in 50%, albeit transient and mild in nature. ONBs are effective in trigeminal pain involving the second and third branch and seem to be most effective in craniofacial neuralgias. They should be considered in facial pain before more invasive approaches, such as thermocoagulation or vascular decompression, are performed, given that side effects are mild and the procedure is minimally invasive.
abstractGer	Abstract Occipital nerve block (ONB) has been used in several primary headache syndromes with good results. Information on its effects in facial pain is sparse. In this chart review, the efficacy of ONB using lidocaine and dexamethasone was evaluated in 20 patients with craniofacial pain syndromes comprising 8 patients with trigeminal neuralgia, 6 with trigeminal neuropathic pain, 5 with persistent idiopathic facial pain and 1 with occipital neuralgia. Response was defined as an at least 50% reduction of original pain. Mean response rate was 55% with greatest efficacy in trigeminal (75%) and occipital neuralgia (100%) and less efficacy in trigeminal neuropathic pain (50%) and persistent idiopathic facial pain (20%). The effects lasted for an average of 27 days with sustained benefits for 69, 77 and 107 days in three patients. Side effects were reported in 50%, albeit transient and mild in nature. ONBs are effective in trigeminal pain involving the second and third branch and seem to be most effective in craniofacial neuralgias. They should be considered in facial pain before more invasive approaches, such as thermocoagulation or vascular decompression, are performed, given that side effects are mild and the procedure is minimally invasive.
abstract_unstemmed	Abstract Occipital nerve block (ONB) has been used in several primary headache syndromes with good results. Information on its effects in facial pain is sparse. In this chart review, the efficacy of ONB using lidocaine and dexamethasone was evaluated in 20 patients with craniofacial pain syndromes comprising 8 patients with trigeminal neuralgia, 6 with trigeminal neuropathic pain, 5 with persistent idiopathic facial pain and 1 with occipital neuralgia. Response was defined as an at least 50% reduction of original pain. Mean response rate was 55% with greatest efficacy in trigeminal (75%) and occipital neuralgia (100%) and less efficacy in trigeminal neuropathic pain (50%) and persistent idiopathic facial pain (20%). The effects lasted for an average of 27 days with sustained benefits for 69, 77 and 107 days in three patients. Side effects were reported in 50%, albeit transient and mild in nature. ONBs are effective in trigeminal pain involving the second and third branch and seem to be most effective in craniofacial neuralgias. They should be considered in facial pain before more invasive approaches, such as thermocoagulation or vascular decompression, are performed, given that side effects are mild and the procedure is minimally invasive.
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title_short	Occipital nerve block is effective in craniofacial neuralgias but not in idiopathic persistent facial pain
url	https://dx.doi.org/10.1007/s10194-012-0417-x
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up_date	2024-07-04T00:34:42.054Z
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Information on its effects in facial pain is sparse. In this chart review, the efficacy of ONB using lidocaine and dexamethasone was evaluated in 20 patients with craniofacial pain syndromes comprising 8 patients with trigeminal neuralgia, 6 with trigeminal neuropathic pain, 5 with persistent idiopathic facial pain and 1 with occipital neuralgia. Response was defined as an at least 50% reduction of original pain. Mean response rate was 55% with greatest efficacy in trigeminal (75%) and occipital neuralgia (100%) and less efficacy in trigeminal neuropathic pain (50%) and persistent idiopathic facial pain (20%). The effects lasted for an average of 27 days with sustained benefits for 69, 77 and 107 days in three patients. Side effects were reported in 50%, albeit transient and mild in nature. ONBs are effective in trigeminal pain involving the second and third branch and seem to be most effective in craniofacial neuralgias. 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Occipital nerve block is effective in craniofacial neuralgias but not in idiopathic persistent facial pain

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