The Responses of the Greater Occipital Nerve Blockade by Local Anesthetics in Headache Patients

SAHIN, Burç Esra; üçler, serap; ÖZKAN, Seçil; Coskun, Ozlem; İNAN, Levent; İNAN, Nurten

The Responses of the Greater Occipital Nerve Blockade by Local Anesthetics in Headache Patients

Burç Esra SAHIN, (Gazi Üniversitesi, Tıp Fakültesi, Nöroloji Algoloji Bilim Dalı, Ankara, Türkiye)

Özlem COŞKUN, (Gazi Üniversitesi, Tıp Fakültesi, Nöroloji Algoloji Bilim Dalı, Ankara, Türkiye)

Serap ÜÇLER, (Sağlık Bakanlığı, Okmeydanı Eğitim ve Araştırma Hastanesi, Nöroloji Kliniği, İstanbul, Türkiye)

Nurten İNAN, (Gazi Üniversitesi, Tıp Fakültesi, Anesteziyoloji Anabilim Dalı, Ankara, Türkiye)

Levent İNAN, (Sağlık Bakanlığı, Ankara Eğitim ve Araştırma Hastanesi, Nöroloji Kliniği, Ankara, Türkiye)

Seçil ÖZKAN (Gazi Üniversitesi, Tıp Fakültesi, Halk Sağlığı Anabilim Dalı, Ankara, Türkiye)

Journal of Neurological Sciences (Turkish)

4 3

Yıl: 2016 Cilt: 33 Sayı: 1 Sayfa Aralığı: 20 - 29 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

The Responses of the Greater Occipital Nerve Blockade by Local Anesthetics in Headache Patients

Öz:

Giriş: Periferal sinir blokajları primer başağrıları tedavisinde uzun süredir kullanılmaktadır. Bu çalışmada biz, primer başağrısı olan hastalarda, özellikle büyük oksipital sinir blokajının etkinliğini araştırdık. Materyal ve Metodlar: Daha once büyük oksipital sinir blokajı yapılan 67 hasta çalışmaya dahil edildi. Hastaların 37 tanesinde migren, 17 hastada aşırı analjezik kullanımı başağrısı, 7 hastada otonom başağrısı, 4 hastada trigeminal nevralji ve 3 hastada da servikojenik başağrısı mevcuttu. Sonuçlar: İlk blokaj ve tekrarlayan blokajlardan sonra ağrı şiddeti, periyodu ve sıklığında azalma tespit edildi. Migren hastaları için, ilk blokajdan sonra atak sıklığı %50 oranında azalmıştı. Atak periyodu da ilk tedavide %91.6, sonra takip eden blokajlarda sırası ile %95.83 ve %72.22 oranlarında azaldı. Benzer sonuçlar diğer başağrısı gruplarında da izlendi. Sonuçlar: Hastaların ilk blokajdan sonra anlamlı oranda semptomatik rahatlama gösterdikleri izlendi. Tekrarlayan blokajlarla etkinin devam ettiği izlendi ve bu durum önleyici tedavide de tekrarlayan blokajların kullanılabileceği düşüncesini beraberinde getirdi

Anahtar Kelime:

Konular: Nörolojik Bilimler

Başağrısı Hastalarında Büyük Oksipital Sinirin Lokal Anestezikler ile Blokajının Yanıtları

Öz:

Background: Peripheral nerve blockade has been using in primer headache treatment for a long time. Our aim in this study was to examine the efficiency of greater occipital nerve (GON) blockade in patients with primary headache especially medical overuse headache. Materials and Methods: Sixty-nine headache patients who were treated with greater occipital nerve blockade have been examined retrospectively. Thirty-seven of the patients had migraine, 17 of them had medication overuse headache, 7 of them had autonomic cephalagia, 4 of them had trigeminal neuralgia and 3 of them had cervicogenic headache. Results: It has been observed that the intensity, period and frequency of the pain were significantly reduced after the first blockade and ranged stable in repetitive blockades. For the migraine patients; attack frequency was decreased at 50% rate in the first blockade. Attack period was decreased at 91.6% rate at first, then at repetitive blockades effect proceeded as 95.83% and 72.22% respectively. Similar results were reached in other headache groups as well. Discussion: Patients can have significant symptomatic reliefs with first GON blockade. Repetitive blockades can be used in order to provide continuance in the effect or to provide pain relief until the effect of other preventive treatments will start

Anahtar Kelime:

Konular: Nörolojik Bilimler

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	SAHIN B, Coskun O, üçler s, İNAN N, İNAN L, ÖZKAN S (2016). The Responses of the Greater Occipital Nerve Blockade by Local Anesthetics in Headache Patients. , 20 - 29.
Chicago	SAHIN Burç Esra,Coskun Ozlem,üçler serap,İNAN Nurten,İNAN Levent,ÖZKAN Seçil The Responses of the Greater Occipital Nerve Blockade by Local Anesthetics in Headache Patients. (2016): 20 - 29.
MLA	SAHIN Burç Esra,Coskun Ozlem,üçler serap,İNAN Nurten,İNAN Levent,ÖZKAN Seçil The Responses of the Greater Occipital Nerve Blockade by Local Anesthetics in Headache Patients. , 2016, ss.20 - 29.
AMA	SAHIN B,Coskun O,üçler s,İNAN N,İNAN L,ÖZKAN S The Responses of the Greater Occipital Nerve Blockade by Local Anesthetics in Headache Patients. . 2016; 20 - 29.
Vancouver	SAHIN B,Coskun O,üçler s,İNAN N,İNAN L,ÖZKAN S The Responses of the Greater Occipital Nerve Blockade by Local Anesthetics in Headache Patients. . 2016; 20 - 29.
IEEE	SAHIN B,Coskun O,üçler s,İNAN N,İNAN L,ÖZKAN S "The Responses of the Greater Occipital Nerve Blockade by Local Anesthetics in Headache Patients." , ss.20 - 29, 2016.
ISNAD	SAHIN, Burç Esra vd. "The Responses of the Greater Occipital Nerve Blockade by Local Anesthetics in Headache Patients". (2016), 20-29.

APA	SAHIN B, Coskun O, üçler s, İNAN N, İNAN L, ÖZKAN S (2016). The Responses of the Greater Occipital Nerve Blockade by Local Anesthetics in Headache Patients. Journal of Neurological Sciences (Turkish), 33(1), 20 - 29.
Chicago	SAHIN Burç Esra,Coskun Ozlem,üçler serap,İNAN Nurten,İNAN Levent,ÖZKAN Seçil The Responses of the Greater Occipital Nerve Blockade by Local Anesthetics in Headache Patients. Journal of Neurological Sciences (Turkish) 33, no.1 (2016): 20 - 29.
MLA	SAHIN Burç Esra,Coskun Ozlem,üçler serap,İNAN Nurten,İNAN Levent,ÖZKAN Seçil The Responses of the Greater Occipital Nerve Blockade by Local Anesthetics in Headache Patients. Journal of Neurological Sciences (Turkish), vol.33, no.1, 2016, ss.20 - 29.
AMA	SAHIN B,Coskun O,üçler s,İNAN N,İNAN L,ÖZKAN S The Responses of the Greater Occipital Nerve Blockade by Local Anesthetics in Headache Patients. Journal of Neurological Sciences (Turkish). 2016; 33(1): 20 - 29.
Vancouver	SAHIN B,Coskun O,üçler s,İNAN N,İNAN L,ÖZKAN S The Responses of the Greater Occipital Nerve Blockade by Local Anesthetics in Headache Patients. Journal of Neurological Sciences (Turkish). 2016; 33(1): 20 - 29.
IEEE	SAHIN B,Coskun O,üçler s,İNAN N,İNAN L,ÖZKAN S "The Responses of the Greater Occipital Nerve Blockade by Local Anesthetics in Headache Patients." Journal of Neurological Sciences (Turkish), 33, ss.20 - 29, 2016.
ISNAD	SAHIN, Burç Esra vd. "The Responses of the Greater Occipital Nerve Blockade by Local Anesthetics in Headache Patients". Journal of Neurological Sciences (Turkish) 33/1 (2016), 20-29.