Effectiveness of Bilateral Greater and Lesser Occipital Nerve Blocks in the Prophylaxis of Episodic Migraine
Yıl: 2021 Cilt: 23 Sayı: 1 Sayfa Aralığı: 93 - 96 Metin Dili: İngilizce DOI: 10.18678/dtfd.861533 İndeks Tarihi: 14-06-2021
Effectiveness of Bilateral Greater and Lesser Occipital Nerve Blocks in the Prophylaxis of Episodic Migraine
Öz: Aim: In recent years, many studies have been conducted on the effectiveness of occipital nerveblock (ONB) especially in the prophylaxis of chronic migraine. In this study, it was aimed toinvestigate the effectiveness of bilateral greater and lesser ONBs in the prophylaxis of episodicmigraine without aura.Material and Methods: This retrospective study included patients with episodic migrainewithout aura who underwent bilateral greater and lesser ONBs between January 2018 andDecember 2019. Information about headache frequency, attack duration, and pain severity(VAS score) of the patients in the last month before nerve block and 1 month after nerve blockwas retrieved from the database and recorded for statistical analysis.Results: A total of 17 patients aged 26-57 years were included in this study. None of the patientsdeveloped any drug side effects or complications associated with ONB. With ONB, the medianvalue of headache attack frequency dropped from 5 (range, 4-14) to 2 (range, 0-6) per month(p=0.001), the median value of pain duration dropped from 12 (range, 6-14) to 4 (range, 0-9)days (p<0.001), and the median value of VAS pain severity score dropped from 9 (range, 7-10)to 5 (range, 0-10) for the patients (p=0.001), compared with the pretreatment values.Conclusion: Bilateral greater and lesser ONBs are effective in the prophylaxis of episodicmigraine without aura. ONB can be considered as a treatment option in patients with episodicmigraine without aura who do not respond to conventional treatments (oral drugs) or do notaccept conventional therapy.
Anahtar Kelime: -
Öz: Amaç: Son yıllarda oksipital sinir bloğunun (OSB) özellikle kronik migren profilaksisindeki etkinliği konusunda çok sayıda çalışma yapılmıştır. Bu çalışmada, epizodik aurasız migren profilaksisinde bilateral büyük ve küçük OSB’nin etkinliğinin araştırılması amaçlanmıştır. Gereç ve Yöntemler: Bu geriye dönük çalışmaya, Ocak 2018 ile Aralık 2019 tarihleri arasında bilateral büyük ve küçük OSB uygulanmış olan epizodik aurasız migren hastaları dahil edilmiştir. Hastaların sinir bloğu uygulanmadan önceki son ay ile sinir bloğu uygulandıktan sonraki bir aylık baş ağrısı sıklığı, atak süresi ve ağrı şiddeti (VAS skoru) hakkındaki bilgileri veri tabanından alındı ve istatistiksel analiz için kaydedildi. Bulgular: Bu çalışmaya yaşı 26 ile 57 yıl arasında olan toplam 17 hasta dahil edilmiştir. Hastaların hiçbirinde OSB ile ilişkili herhangi bir ilaç yan etkisi ya da komplikasyon gelişmemişti. Tedavi öncesi değerler ile karşılaştırıldığında, hastaların OSB ile baş ağrısı atak sıklığının medyan değeri ayda 5 (aralık, 4-14)’ten 2 (aralık, 0-6)’ye (p=0,001), ağrı süresinin medyan değeri 12 (aralık, 6-14)’den 4 (aralık, 0-9) güne (p<0,001) ve son olarak VAS ağrı şiddeti skoru medyan değeri ise 9 (aralık, 7-10)’dan 5 (aralık, 0-10)’e düşmüştü (p=0,001). Sonuç: Bilateral büyük ve küçük OSB epizodik aurasız migren profilaksisinde etkilidir. Konvansiyonel (oral ilaçlar) tedavilere yanıt vermeyen veya konvansiyonel tedaviyi kabul etmeyen epizodik aurasız migreni olan hastalarda OSB bir tedavi seçeneği olarak düşünülebilir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | GÜNEŞ M, Ozeren E (2021). Effectiveness of Bilateral Greater and Lesser Occipital Nerve Blocks in the Prophylaxis of Episodic Migraine. , 93 - 96. 10.18678/dtfd.861533 |
| Chicago | GÜNEŞ MUZAFFER,Ozeren Ersin Effectiveness of Bilateral Greater and Lesser Occipital Nerve Blocks in the Prophylaxis of Episodic Migraine. (2021): 93 - 96. 10.18678/dtfd.861533 |
| MLA | GÜNEŞ MUZAFFER,Ozeren Ersin Effectiveness of Bilateral Greater and Lesser Occipital Nerve Blocks in the Prophylaxis of Episodic Migraine. , 2021, ss.93 - 96. 10.18678/dtfd.861533 |
| AMA | GÜNEŞ M,Ozeren E Effectiveness of Bilateral Greater and Lesser Occipital Nerve Blocks in the Prophylaxis of Episodic Migraine. . 2021; 93 - 96. 10.18678/dtfd.861533 |
| Vancouver | GÜNEŞ M,Ozeren E Effectiveness of Bilateral Greater and Lesser Occipital Nerve Blocks in the Prophylaxis of Episodic Migraine. . 2021; 93 - 96. 10.18678/dtfd.861533 |
| IEEE | GÜNEŞ M,Ozeren E "Effectiveness of Bilateral Greater and Lesser Occipital Nerve Blocks in the Prophylaxis of Episodic Migraine." , ss.93 - 96, 2021. 10.18678/dtfd.861533 |
| ISNAD | GÜNEŞ, MUZAFFER - Ozeren, Ersin. "Effectiveness of Bilateral Greater and Lesser Occipital Nerve Blocks in the Prophylaxis of Episodic Migraine". (2021), 93-96. https://doi.org/10.18678/dtfd.861533 |
| APA | GÜNEŞ M, Ozeren E (2021). Effectiveness of Bilateral Greater and Lesser Occipital Nerve Blocks in the Prophylaxis of Episodic Migraine. Düzce Tıp Fakültesi Dergisi, 23(1), 93 - 96. 10.18678/dtfd.861533 |
| Chicago | GÜNEŞ MUZAFFER,Ozeren Ersin Effectiveness of Bilateral Greater and Lesser Occipital Nerve Blocks in the Prophylaxis of Episodic Migraine. Düzce Tıp Fakültesi Dergisi 23, no.1 (2021): 93 - 96. 10.18678/dtfd.861533 |
| MLA | GÜNEŞ MUZAFFER,Ozeren Ersin Effectiveness of Bilateral Greater and Lesser Occipital Nerve Blocks in the Prophylaxis of Episodic Migraine. Düzce Tıp Fakültesi Dergisi, vol.23, no.1, 2021, ss.93 - 96. 10.18678/dtfd.861533 |
| AMA | GÜNEŞ M,Ozeren E Effectiveness of Bilateral Greater and Lesser Occipital Nerve Blocks in the Prophylaxis of Episodic Migraine. Düzce Tıp Fakültesi Dergisi. 2021; 23(1): 93 - 96. 10.18678/dtfd.861533 |
| Vancouver | GÜNEŞ M,Ozeren E Effectiveness of Bilateral Greater and Lesser Occipital Nerve Blocks in the Prophylaxis of Episodic Migraine. Düzce Tıp Fakültesi Dergisi. 2021; 23(1): 93 - 96. 10.18678/dtfd.861533 |
| IEEE | GÜNEŞ M,Ozeren E "Effectiveness of Bilateral Greater and Lesser Occipital Nerve Blocks in the Prophylaxis of Episodic Migraine." Düzce Tıp Fakültesi Dergisi, 23, ss.93 - 96, 2021. 10.18678/dtfd.861533 |
| ISNAD | GÜNEŞ, MUZAFFER - Ozeren, Ersin. "Effectiveness of Bilateral Greater and Lesser Occipital Nerve Blocks in the Prophylaxis of Episodic Migraine". Düzce Tıp Fakültesi Dergisi 23/1 (2021), 93-96. https://doi.org/10.18678/dtfd.861533 |
