Acute Treatment of Basilar-Type Migraine With Greater Occipital Nerve Blockade

被引：21

作者：

Baron, Eric P. ^{[1
]}

Tepper, Stewart J. ^{[1
]}

Mays, Maryann ^{[1
]}

Cherian, Neil ^{[1
]}

机构：

[1] Cleveland Clin, Neurol Inst Neurol, Ctr Headache & Pain, Cleveland, OH 44195 USA

来源：

HEADACHE | 2010年 / 50卷 / 06期

关键词：

basilar-type migraine; basilar migraine; greater occipital nerve block; acute migraine treatment; Bickerstaff migraine; basilar artery migraine; BLOOD-FLOW VELOCITY; HEMIPLEGIC MIGRAINE; SUMATRIPTAN; AURA; PATHOPHYSIOLOGY; HEADACHE;

D O I：

10.1111/j.1526-4610.2010.01682.x

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

100204 [神经病学];

摘要：

Basilar-type migraine (BTM) precludes use of migraine-specific medications such as triptans and ergots based on concerns originating from the vascular theory of migraine, although data supporting this contraindication are lacking. Availability of effective treatments for acute BTM is limited. We report a case of BTM aborted with greater occipital nerve (GON) blockade given in the setting of prominent suboccipital tenderness. GON blockade may provide an additional option in acute management of BTM. It may be particularly useful when associated with prominent ipsilateral suboccipital tenderness.

引用

页码：1057 / 1059

页数：3

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