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- Title
The effect of anesthetic blockade of greater occipital nerve during the withdrawal period of the medication overuse headache treatment.
- Authors
UNSAL, Mirac Aysen; AYDIN, Tugrul
- Abstract
Background and purpose – Discontinuation of medication still remains a key element in the treatment of medication overuse headache (MOH), but there is no consensus on the withdrawal procedure. We aimed to share the promising results of anesthetic blockade of greater occipital nerve (GON), which can be an alternative to existing treatments during the early withdrawal period of MOH treatment. Methods – This study was conducted using regular electronic medical records and headache diaries of patients diagnosed with MOH and treated with anesthetic GON blockade with 0.5% bupivacaine solution in a specialized headache outpatient clinic. A total of 86 patients who developed MOH while being followed up for chronic migraine were included in the study. Results – The treatment schemes for MOH are based on expert consensus and with-drawal strategies are the most challenging part of treatment. In our study, numerical rating scale for headache intensity, over-used medication consumption per month, headache frequency (day/month) and the duration of each attack (hour/day) decreased significantly in the first month compared to pre-treatment (p < 0.01). Conclusion – Our study suggests that GON blockade can be used as a good alternative therapy in the treatment of MOH.
- Subjects
MEDICATION overuse headache; ELECTRONIC health records; ANESTHETICS; PRIMARY headache disorders; NERVES
- Publication
Clinical Neuroscience / Ideggyógyászati Szemle, 2024, Vol 77, Issue 3/4, p103
- ISSN
0019-1442
- Publication type
Article
- DOI
10.18071/isz.77.0103