Greater Occipital Nerve Decompression for Occipital Neuralgia.

Authors:
Dr Anson Jose, MDS
Dr Anson Jose, MDS
All India Institute of Medical Sciences
Oral and maxillofacial surgeon
Oral and maxillofacial surgery
New delhi, new delhi | India
Shakil Ahmed Nagori
Shakil Ahmed Nagori
All India Institute of Medical Sciences
India
Probodh K Chattopadhyay
Probodh K Chattopadhyay
Professor and Department Head
Ajoy Roychoudhury
Ajoy Roychoudhury
All India Institute of Medical Sciences
India

J Craniofac Surg 2018 Jul;29(5):e518-e521

Department of Oral and Maxillofacial surgery, All India Institute of Medical Sciences, New Delhi, India.

The aim of the study was to evaluate the effectiveness of greater occipital nerve decompression for the management of occipital neuralgia. Eleven patients of medical refractory occipital neuralgia were enrolled in the study. Local anaesthetic blocks were used for confirming diagnosis. All of them underwent surgical decompression of greater occipital nerve at the level of semispinalis capitis and trapezial tunnel. A pre and postoperative questionnaire was used to compare the severity of pain and number of pain episodes/month. Mean pain episodes reported by patients before surgery were 17.1 ± 5.63 episodes per month. This reduced to 4.1 ± 3.51 episodes per month (P < 0.0036) postsurgery. The mean intensity of pain also reduced from a preoperative 7.18 ± 1.33 to a postoperative of 1.73 ± 1.95 (P < 0.0033). Three patients reported complete elimination of pain after surgery while 6 patients reported significant relief of their symptoms. Only 2 patients failed to notice any significant improvement. The mean follow-up period was 12.45 ± 1.29 months. Surgical decompression of greater occipital nerve is a simple and viable treatment modality for the management of occipital neuralgia.

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Source
http://dx.doi.org/10.1097/SCS.0000000000004549DOI Listing
July 2018
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