109 results match your criteria Nerve Block Supraorbital

Regional Scalp Blockade for Painless Removal ofIntracranial Pressure Bolts: Technical Note and Patient-Reported Outcomes.

World Neurosurg 2022 Jun 12;162:43-46. Epub 2022 Mar 12.

Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, University College Hospitals NHS Foundation Trust, London, United Kingdom.

Objective: Elective insertion of intracranial pressure (ICP) monitoring bolts is useful for the diagnosis and treatment of disorders of cerebrospinal fluid dynamics. Patients typically report severe discomfort on bolt removal, which negatively impacts overall patient satisfaction of ICP monitoring. We assessed the efficacy and safety of using supratrochlear and supraorbital nerve block-a commonly used form of scalp anesthesia-alongside oral analgesia before bolt removal. Read More

View Article and Full-Text PDF

Evaluating the Anatomic Spread of Selective Nerve Scalp Blocks Using Methylene Blue: A Cadaveric Analysis.

J Neurosurg Anesthesiol 2021 Dec 9. Epub 2021 Dec 9.

Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Phoenix Department of Laboratory Medicine and Pathology, Mayo Clinic, Scottsdale, AZ.

Background: The modern scalp block consists of local anesthesia injections that target the supraorbital, supratrochlear, zygomaticotemporal, auriculotemporal, and greater and lesser occipital nerves. Limited data exist on the local anesthetic spread that occurs with this technique. This study examines the extent of the spread of a scalp block using methylene blue in a cadaveric model. Read More

View Article and Full-Text PDF
December 2021

Percutaneous Interventional Strategies for Migraine Prevention: A Systematic Review and Practice Guideline.

Pain Med 2022 Jan;23(1):164-188

Department of Anesthesiology, University of California, San Diego, California, USA.

Objective: To systematically evaluate the efficacy and effectiveness of percutaneous interventional treatments for prevention of migraine through a qualitative and (when possible) quantitative analysis.

Methods: An expert panel was asked to develop recommendations for the multidisciplinary preventive treatment of migraine, including interventional strategies. The committee conducted a systematic review and (when evidence was sufficient) a meta-analytic review by using the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) criteria and the modified Cochrane Risk of Bias analysis available in the Covidence data management program. Read More

View Article and Full-Text PDF
January 2022

The anatomical variations of the emergence routes of supraorbital nerve: A cadaveric study and systematic review.

Asian J Surg 2022 Jan 22;45(1):220-225. Epub 2021 Jun 22.

Doris Duke Research Fellow, University of Minnesota.

Background: Knowledge of the location of supraorbital nerve is essential to perform supraorbital endoscopic surgery, regional nerve block, and nerve decompression in the treatment of migraine. This study discusses the emergence routes of supraorbital nerve as well as a systematic literature review on previous anatomical studies. This comparative analysis will be beneficial for surgeons worldwide. Read More

View Article and Full-Text PDF
January 2022

Neuroma of The Supraorbital Nerve Following Forehead Flap Reconstruction - Presentation and Surgical Management.

J Craniofac Surg 2021 Jun;32(4):1515-1516

Department of Plastic and Reconstructive Surgery.

Abstract: Localized pain or headache from neuroma formation is a rare and challenging complication of forehead flap surgery. Here the authors present a patient who developed local pain and dysesthesia following iatrogenic injury to the left supraorbital nerve during forehead flap elevation. Following a diagnostic nerve block in clinic, surgical excision of the neuroma was performed through an upper blepharoplasty approach. Read More

View Article and Full-Text PDF

Hemicrania continua secondary to pituitary macroadenoma responsive to nerve blocks: A case report.

Headache 2021 05;61(5):798-800

Department of Clinical Neurological Sciences, Western University, London, ON, Canada.

View Article and Full-Text PDF

Comparison of greater occipital nerve and greater occipital nerve + supraorbital nerve block effect in chronic medication overuse headache

Turk J Med Sci 2021 06 28;51(3):1065-1070. Epub 2021 Jun 28.

Background /aim: In this study, we aimed to compare the efficacy of greater occipital nerve (GON) block alone and GON combined with supraorbital nerve (SON) block in the treatment of medication overuse headache (MOH).

Material And Methods: 82 patients were divided into two groups: 41 patients were administered bilateral GON block while the other 41 patients GON + SON block. Nerve blocks were administered every 10 days for a total of 5 sessions. Read More

View Article and Full-Text PDF

Clinical Outcome of Percutaneous Trigeminal Nerve Block in Elderly Patients in Outpatient Clinics.

J Korean Neurosurg Soc 2020 Nov 27;63(6):814-820. Epub 2020 Oct 27.

Department of Neurosurgery, School of Medicine, Kyung Hee University, Seoul, Korea.

Objective: Trigeminal neuralgia (TN) is a severe neuropathic condition that affects several elderly patients. It is characterized by uncontrolled pain that significantly impacts the quality of life of patients. Therefore, the condition should be treated as an emergency. Read More

View Article and Full-Text PDF
November 2020

Ultrasound-Guided Local Anesthetic Nerve Blocks in a Forehead Flap Reconstructive Maxillofacial Procedure.

Anesth Prog 2020 09;67(3):164-169

Department of Anesthesiology, Asahi General Hospital, Chiba, Japan.

Head and neck reconstructive surgery involving tissue flaps is often complex requiring the development of an individualized anesthetic plan. The following case report describes the anesthetic management of an 87-year-old man considered at high risk for postoperative delirium due to advanced age and blindness undergoing general anesthesia for resection of squamous cell carcinoma of the right side of the nose and reconstructive surgery with a scalping forehead flap. Ultrasound-guided local anesthetic maxillary and supraorbital nerve blocks were successfully used perioperatively to reduce the need for alternative analgesics associated with higher risks of complications such as postoperative nausea, vomiting, and delirium. Read More

View Article and Full-Text PDF
September 2020

Craniofacial neuralgias.

NeuroRehabilitation 2020 ;47(3):299-314

Physical Medicine and Rehabilitation, Indiana University School of Medicine, Rehabilitation Hospital of Indiana, 4141 Shore Drive, Indianapolis, IN, USA.

While non-headache, non-oral craniofacial neuralgia is relatively rare in incidence and prevalence, it can result in debilitating pain. Understanding the relevant anatomy of peripheral branches of nerves, natural history, clinical presentation, and management strategies will help the clinician better diagnose and treat craniofacial neuralgias. This article will review the nerves responsible for neuropathic pain in periorbital, periauricular, and occipital regions, distinct from idiopathic trigeminal neuralgia. Read More

View Article and Full-Text PDF
February 2021

Improving Acute Treatment of Pediatric Primary Headache Disorders With a Novel Headache Treatment Center: Retrospective Review of Preliminary Outcomes.

J Child Neurol 2021 01 1;36(1):54-59. Epub 2020 Sep 1.

4204Children's Mercy Hospitals and Clinics, Kansas City, MO, USA.

Objective: To determine preliminary outcomes of targeted headache treatments provided at a novel outpatient acute care pediatric headache treatment center.

Background: Limitations exist in acute management of pediatric headaches, including inadequate access to specialty headache therapies and headache specialists in acute settings, variable success of emergency room treatments, and omission of comfort measures. An outpatient acute headache care clinic (the "Headache Treatment Center") was strategically initiated at a Midwestern pediatric academic hospital to provide acute and targeted headache therapies for children with active headaches. Read More

View Article and Full-Text PDF
January 2021

Supraorbital Neuralgia Associated With Thyroid Eye Disease.

Ophthalmic Plast Reconstr Surg 2021 May-Jun 01;37(3):230-235

Plastic Eye Surgery Associates, Houston, Texas, U.S.A.

Purpose: To identify the relationship between thyroid eye disease (TED) and supraorbital neuralgia (SON) and establish a reliable approach to the diagnosis and management of TED-associated SON.

Methods: This retrospective study included 1,126 patients. Demographics, active and inactive phase status and duration, and reactivation rate were noted. Read More

View Article and Full-Text PDF

Unrecognized challenges of treating status migrainosus: An observational study.

Cephalalgia 2020 07 12;40(8):818-827. Epub 2020 Mar 12.

Hartford Healthcare Headache Center, Ayer Neuroscience Institute, West Hartford, CT, USA.

Background: Status migrainosus is a condition with limited epidemiological knowledge, and no evidence-based treatment guideline or rational-driven assessment of successful treatment outcome. To fill this gap, we performed a prospective observational study in which we documented effectiveness of treatment approaches commonly used in a tertiary headache clinic.

Material And Methods: Patients with episodic and chronic migraine who experienced continuous and prolonged attacks for more than 72 hours were treated with dexamethasone (4 mg orally twice daily for 3 days), ketorolac (60 mg intramuscularly), bilateral nerve blocks (1-2% lidocaine, 0. Read More

View Article and Full-Text PDF

Nerve Blocks Prior to Microfocused Ultrasound Treatment are Safe and Reduce Patient Discomfort.

Aesthet Surg J 2020 07;40(8):887-891

Pennsylvania State University, University Park, PA.

Background: Microfocused ultrasound with visualization has become one of the more popular nonsurgical facial rejuvenation therapies available. Although the treatment has gained wide acceptance, providing adequate pain relief during the procedure can be challenging.

Objectives: The aim of this study was to test our hypothesis that nerve blocks prior to treatment would be well tolerated and significantly reduce patient discomfort. Read More

View Article and Full-Text PDF

Are repetitive pericranial nerve blocks effective in the management of chronic paroxysmal hemicrania?: A case report.

Medicine (Baltimore) 2019 Aug;98(31):e16484

Department of Neurology, Sisli Hamidiye Etfal Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.

Introduction: Paroxysmal hemicrania (PH) is a chronic headache disorder characterized by unilateral pain attacks accompanied by cranial autonomic symptoms and responds to indomethacin completely. There are few alternative treatment options for the patients who cannot tolerate indomethacin. Studies exploring the effects of repetitive peripheral cranial nerve blocks in the management of chronic PH are limited. Read More

View Article and Full-Text PDF

A ketogenic diet normalizes interictal cortical but not subcortical responsivity in migraineurs.

BMC Neurol 2019 Jun 22;19(1):136. Epub 2019 Jun 22.

Department of Medico-Surgical Sciences and Biotechnologies, "Sapienza" University Rof Rome Polo Pontino, Latina, Italy.

Background: A short ketogenic diet (KD) treatment can prevent migraine attacks and correct excessive cortical response. Here, we aim to prove if the KD-related changes of cortical excitability are primarily due to cerebral cortex activity or are modulated by the brainstem.

Methods: Through the stimulation of the right supraorbital division of the trigeminal nerve, we concurrently interictally recorded the nociceptive blink reflex (nBR) and the pain-related evoked potentials (PREP) in 18 migraineurs patients without aura before and after 1-month on KD, while in metabolic ketosis. Read More

View Article and Full-Text PDF

Oral Gabapentinoids and Nerve Blocks for the Treatment of Chronic Ocular Pain.

Eye Contact Lens 2020 May;46(3):174-181

Department of Ophthalmology (L.R.S., A.G., E.R.F., R.C.L., C.D.S.), Bascom Palmer Eye Institute, University of Miami, Miami, FL; Ophthalmology, Miami Veterans Administration Medical Center (A.G.), Miami, FL; Physical Medicine and Rehabilitation (E.R.F.), University of Miami, Miami, FL; Department of Anesthesiology, Perioperative Medicine and Pain Management (D.B.H., R.C.L., C.D.S.), University of Miami Miller School of Medicine, Miami, FL; John P. Hussman Institute for Human Genomics (R.C.L.), University of Miami Miller School of Medicine, Miami, FL; and John T Macdonald Foundation Department of Human Genetics (R.C.L.), University of Miami Miller School of Medicine, Miami, FL.

Purpose: There is a recognition that nerve dysfunction can contribute to chronic ocular pain in some individuals. However, limited data are available on how to treat individuals with a presumed neuropathic component to their ocular pain. As such, the purpose of this study was to examine the efficacy of our treatment approaches to this entity. Read More

View Article and Full-Text PDF

A Retrospective Study of the Incidence and Management of Complications Associated With Regional Nerve Blocks in Equine Dental Patients.

J Vet Dent 2019 Mar;36(1):40-45

1 Rood and Riddle Equine Hospital, Lexington, KY, USA.

Regional anesthesia of the equine head is commonly performed to allow oral extraction of diseased teeth in the standing horse. The use of 4 blocks (infraorbital nerve, maxillary nerve, mental nerve, and mandibular nerve) is well documented for desensitization of dental quadrants for oral surgery for exodontia, but descriptions of associated complications are limited. A total of 270 regional nerve blocks were performed on 162 equine patients in a second opinion referral hospital setting. Read More

View Article and Full-Text PDF

Multiple cranial nerve blocks for the transitional treatment of chronic headaches.

Cephalalgia 2019 Oct 13;39(12):1488-1499. Epub 2019 May 13.

Headache Group, Institute of Neurology and The National Hospital for Neurology and Neurosurgery, Queen Square, London, UK.

Background: Multiple cranial nerve blocks of the greater and lesser occipital, supraorbital, supratrochlear and auriculotemporal nerves are widely used in the treatment of primary headaches. We present efficacy and safety data for these procedures.

Methods: In an uncontrolled open-label prospective study, 119 patients with chronic cluster headache, chronic migraine, short lasting unilateral neuralgiform attack disorders, new daily persistent headaches, hemicrania continua and chronic paroxysmal hemicrania were examined. Read More

View Article and Full-Text PDF
October 2019

Therapeutic strategies that act on the peripheral nervous system in primary headache disorders.

Expert Rev Neurother 2019 06 13;19(6):509-533. Epub 2019 May 13.

a Department of Neurology, Faculty of Medicine, Interdisciplinary Excellence Centre , University of Szeged , Szeged , Hungary.

: Acute and preventive treatment of primary headache disorders is not completely resolved with regard to efficacy, safety, and tolerability. Hence, peripheral and central neuromodulation can provide therapeutic alternatives in drug-resistant cases. Peripheral targets of neuromodulation include invasive and non-invasive neurostimulation and electrical and chemical nerve and ganglion blockades. Read More

View Article and Full-Text PDF

Entrapment Neuropathy: A Concept for Pathogenesis and Treatment of Headaches-A Narrative Review.

Clin Med Insights Ear Nose Throat 2019 15;12:1179550619834949. Epub 2019 Mar 15.

Department of Otorhinolaryngology - Head and Neck Surgery, Center for Facial Plastic and Reconstructive Surgery, Diakonessen Hospital, Utrecht, The Netherlands.

Entrapment neuropathy is a known cause of neurological disorders. In the head and neck area, this pathophysiological mechanism could be a trigger for headache. Over the last few decades, injection of botulinum toxin type A in the muscles that are causing the compression as well as surgical decompression have proved to be effective treatment methods worldwide for large numbers of patients with daily headaches. Read More

View Article and Full-Text PDF

Greater occipital and supraorbital nerve blockade for the preventive treatment of migraine: a single-blind, randomized, placebo-controlled study.

Curr Med Res Opin 2019 05 31;35(5):909-915. Epub 2018 Oct 31.

c Department of Neurology , Gaziosmanpaşa Taksim Training and Research Hospital , Istanbul , Turkey.

Objective: Nerve injections have been used for the acute and preventive treatment of migraine in recent decades. Most of these injections focused on greater occipital nerve (GON) blockade. However, few studies were placebo controlled, and only a few of them investigated GON and supraorbital nerve (SON) blockade together. Read More

View Article and Full-Text PDF

Treatment of post-craniotomy acute severe supraorbital neuralgia using ultrasound-guided pulsed radiofrequency: a case report.

J Pain Res 2018 8;11:1497-1501. Epub 2018 Aug 8.

Department of Anesthesiology and Pain Management, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, People's Republic of China,

Pulsed radiofrequency is an effective, safe, and nondestructive pain treatment technique that has been insufficiently reported in the treatment of supraorbital neuralgia. We report the successful use of pulsed radiofrequency to alleviate acute severe supraorbital neuralgia in a post-craniotomy patient. A 52-year-old female, who had acute severe supraorbital neuralgia after having received a right frontal craniotomy and with poor efficacy in response to medication and a nerve block, was subjected to ultrasound-guided pulsed radiofrequency treatment and experienced complete pain relief, as a result of which the patient stopped taking all analgesic drugs. Read More

View Article and Full-Text PDF

Urgent care peripheral nerve blocks for refractory trigeminal neuralgia.

Am J Emerg Med 2018 11 8;36(11):2058-2060. Epub 2018 Aug 8.

Department of Anesthesiology, New York-Presbyterian Hospital/Weill Cornell Medicine, 525 East 68th Street, Box 124, New York, NY 10065, United States of America.

Objective: After medication failure, patients with refractory trigeminal neuralgia (TGN) often present urgently and seek more potent or invasive therapies such as opioids or surgical options. Peripheral nerve blocks, safe and simple, may offer extended pain relief prior to opioid use or more invasive ganglion level procedures.

Methods: We report a retrospective case-series (urgent care, at a large urban medical center, over a 2 year period) of nine patients with intractable primary TGN who underwent peripheral trigeminal nerve blocks after failing conservative medical therapy. Read More

View Article and Full-Text PDF
November 2018

Internal neurolysis of the maxillary branch of the trigeminal nerve for the treatment of equine trigeminal mediated headshaking syndrome.

Can Vet J 2018 07;59(7):763-769

Elders Equine Veterinary Service, Box 66047, 3665 Portage Avenue, Winnipeg, Manitoba (Bell, Torske); Royal University Hospital, University of Saskatchewan, Saskatoon, Saskatchewan (Hnenny).

A 5-year-old Hannovarian warmblood gelding was presented for recurrent headshaking exacerbated with exercise. The horse displayed clinical signs of repetitive vertical head movements, face rubbing on the forelimbs and on the ground, repetitive sneezing, and striking the muzzle with his forelimbs. The clinical signs resulted in a horse that could not be ridden and was dangerous. Read More

View Article and Full-Text PDF

Ultrasound-Guided Intervention for Treatment of Trigeminal Neuralgia: An Updated Review of Anatomy and Techniques.

Pain Res Manag 2018 2;2018:5480728. Epub 2018 Apr 2.

Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital Bei-Hu Branch, Taipei, Taiwan.

Orofacial myofascial pain is prevalent and most often results from entrapment of branches of the trigeminal nerves. It is challenging to inject branches of the trigeminal nerve, a large portion of which are shielded by the facial bones. Bony landmarks of the cranium serve as important guides for palpation-guided injections and can be delineated using ultrasound. Read More

View Article and Full-Text PDF
December 2018

Supraorbital nerve exits: positional variations and localization relative to surgical landmarks.

Anat Cell Biol 2018 Mar 28;51(1):19-24. Epub 2018 Mar 28.

Department of Basic Sciences, Faculty of Dental Sciences, University of Peradeniya, Peradeniya, Sri Lanka.

Significant variations exist in the occurrence, form, and position of supraorbital nerve exits through the frontal bone. Detailed knowledge of the positional variations of supraorbital exits is important to ensure safe and successful regional anesthesia, and to avoid iatrogenic nerve injuries during surgery of the orbitofacial region. Supraorbital nerve exits from 116 sides of 58 dry intact adult skulls (37 male and 21 female) in a Sri Lankan population were examined to determine the morphological features and the precise position in relation to the facial midline, temporal crest of frontal bone, and frontozygomatic suture. Read More

View Article and Full-Text PDF

Peripheral nerve blocks for the treatment of short-lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT) during pregnancy.

Agri 2018 Jan;30(1):28-30

Department of Neurology, Training and Research Hospital, Istanbul, Turkey.

Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) is a rare, primary headache syndrome, which is classified as a subtype of trigeminal autonomic cephalalgias. Although SUNCT is usually refractory to treatment, several antiepileptic drugs have recently shown promising results for its treatment. However, there is a lack of evidence regarding the course of SUNCT during pregnancy and the available treatment options. Read More

View Article and Full-Text PDF
January 2018