Abstract
A 44-year-old man with a past medical history of episodic cluster headache presented in our ED with complaints of multiple daily cluster headache attacks, with cervico-occipital spreading of pain from May to September 2004. The neurological examination showed no abnormalities as well as brain and spine MRI. Great Occipital Nerve (GON) blockade, with Lidocaine 2% (5 ml) and betamethasone (2 mg), were performed in the right occipital region (ipsilaterally to cluster headache), during attack. GON blockade was effective immediately for the attack and the cluster period resolved after the injection. We suppose that the action of GON blockade may involve the trigemino-cervical complex and we moreover strongly suggest to use GON blockade in emergency departments for cluster headache with cervico-occipital spreading as attack abortive therapy, especially in oxygen and sumatriptan resistant cluster headache attacks, in patients who complaints sumatriptan side-effects or have contraindications to use triptans.
| Original language | English |
|---|---|
| Pages (from-to) | 98-100 |
| Number of pages | 3 |
| Journal | Journal of Headache and Pain |
| Volume | 7 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - Apr 2006 |
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Keywords
- Cluster headache
- Emergency department
- Great occipital nerve blockade
ASJC Scopus subject areas
- Anesthesiology and Pain Medicine
- Neuroscience(all)
Cite this
Great occipital nerve blockade for cluster headache in the emergency department : Case report. / Scattoni, Lorena; Di Stani, Fabrizio; Villani, Veronica; Dugoni, Demo; Mostardini, Claudio; Reale, Carlo; Cerbo, Rosanna.
In: Journal of Headache and Pain, Vol. 7, No. 2, 04.2006, p. 98-100.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Great occipital nerve blockade for cluster headache in the emergency department
T2 - Case report
AU - Scattoni, Lorena
AU - Di Stani, Fabrizio
AU - Villani, Veronica
AU - Dugoni, Demo
AU - Mostardini, Claudio
AU - Reale, Carlo
AU - Cerbo, Rosanna
PY - 2006/4
Y1 - 2006/4
N2 - A 44-year-old man with a past medical history of episodic cluster headache presented in our ED with complaints of multiple daily cluster headache attacks, with cervico-occipital spreading of pain from May to September 2004. The neurological examination showed no abnormalities as well as brain and spine MRI. Great Occipital Nerve (GON) blockade, with Lidocaine 2% (5 ml) and betamethasone (2 mg), were performed in the right occipital region (ipsilaterally to cluster headache), during attack. GON blockade was effective immediately for the attack and the cluster period resolved after the injection. We suppose that the action of GON blockade may involve the trigemino-cervical complex and we moreover strongly suggest to use GON blockade in emergency departments for cluster headache with cervico-occipital spreading as attack abortive therapy, especially in oxygen and sumatriptan resistant cluster headache attacks, in patients who complaints sumatriptan side-effects or have contraindications to use triptans.
AB - A 44-year-old man with a past medical history of episodic cluster headache presented in our ED with complaints of multiple daily cluster headache attacks, with cervico-occipital spreading of pain from May to September 2004. The neurological examination showed no abnormalities as well as brain and spine MRI. Great Occipital Nerve (GON) blockade, with Lidocaine 2% (5 ml) and betamethasone (2 mg), were performed in the right occipital region (ipsilaterally to cluster headache), during attack. GON blockade was effective immediately for the attack and the cluster period resolved after the injection. We suppose that the action of GON blockade may involve the trigemino-cervical complex and we moreover strongly suggest to use GON blockade in emergency departments for cluster headache with cervico-occipital spreading as attack abortive therapy, especially in oxygen and sumatriptan resistant cluster headache attacks, in patients who complaints sumatriptan side-effects or have contraindications to use triptans.
KW - Cluster headache
KW - Emergency department
KW - Great occipital nerve blockade
UR - http://www.scopus.com/inward/record.url?scp=33745996394&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33745996394&partnerID=8YFLogxK
U2 - 10.1007/s10194-006-0283-5
DO - 10.1007/s10194-006-0283-5
M3 - Article
VL - 7
SP - 98
EP - 100
JO - Journal of Headache and Pain
JF - Journal of Headache and Pain
SN - 1129-2369
IS - 2
ER -