ArticleEuropean radiology2015
A simplified CT-guided approach for greater occipital nerve infiltration in the management of occipital neuralgia.
Article in European radiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 36 citations in OpenAlex.
- A simplified ultrasonography-guided approach for neurotoxin injection into the obliquus capitis inferior muscle in spasmodic torticollis.Journal of neural transmission (Vienna, Austria : 1996) · 2018Trial
- Indication and Technical Consideration for Nerve Blocks and Neurolysis for Pain Control.Cardiovascular and interventional radiology · 2025Review
- Review of craniofacial pain syndromes involving the greater occipital nerve: relevant anatomy, clinical findings, and interventional management.Neuroradiology · 2024Review
- Refractory occipital scalp pruritus treated with computed tomography-guided greater occipital nerve ablation.Radiology case reports · 2022Article
- Occipital Neuralgia.Current pain and headache reports · 2021Review
- A Review of the Recent Findings in Minimally Invasive Treatment Options for the Management of Occipital Neuralgia.Neurology and therapy · 2020Review
- Global Approach to the Patient with Pain in Interventional Radiology.Seminars in interventional radiology · 2018Review
- Greater occipital nerve infiltration under MR guidance: Feasibility study and preliminary results.European radiology · 2018Article
- Practical considerations of linear accelerator-based frameless extracranial radiosurgery for treatment of occipital neuralgia for nonsurgical candidates.Journal of applied clinical medical physics · 2017Article
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo evaluate the efficacy of a simplified CT-guided greater occipital nerve (GON) infiltration approach in the management of occipital neuralgia (ON).
methodsLocal IRB approval was obtained and written informed consent was waived. Thirty three patients suffering from severe refractory ON who underwent a total of 37 CT-guided GON infiltrations were included between 2012 and 2014. GON infiltration was performed at the first bend of the GON, between the inferior obliqus capitis and semispinalis capitis muscles with local anaesthetics and cortivazol. Pain was evaluated via VAS scores. Clinical success was defined by pain relief greater than or equal to 50 % lasting for at least 3 months.
resultsThe pre-procedure mean pain score was 8/10. Patients suffered from left GON neuralgia in 13 cases, right GON neuralgia in 16 cases and bilateral GON neuralgia in 4 cases. The clinical success rate was 86 %. In case of clinical success, the mean pain relief duration following the procedure was 9.16 months.
conclusionsSimplified CT-guided infiltration appears to be effective in managing refractory ON. With this technique, infiltration of the GON appears to be faster, technically easier and, therefore, safer compared with other previously described techniques. KEY POINTS: • Occipital neuralgia is a very painful and debilitating condition • GON infiltrations have been successful in the treatment of occipital neuralgia • This simplified technique presents a high efficacy rate with long-lasting pain relief • This infiltration technique does not require contrast media injection for pre-planning • GON infiltration at the first bend appears easier and safer.
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