Regarding 'efficacy analysis of combined nerve combing and decompression for occipital neuralgia based on the classification of neurovascular relationships'.
Efficacy analysis of combined nerve combing and decompression for occipital neuralgia based on the classification of neurovascular relationships.
This study set occipital pain improvement as the primary endpoint, and overall headache relief, migraine index, medication use and complication rate as secondary endpoints, to evaluate the efficacy and safety of neural combing plus decompression guided by four neurovascular relationship subtypes for…
Greater occipital nerve block versus intranasal sphenopalatine ganglion block in chronic migraine with failure of at least two oral preventive treatments: a prospective, non-randomised patient-preference comparative study.
Prospective comparative evidence for greater occipital nerve (GON) block and intranasal sphenopalatine ganglion (SPG) block is limited. This study describes the six-month course of two treatment cohorts of patients with chronic migraine in whom at least two oral preventive treatments had failed. To…
TAC-Tic syndromes: a case series on the complex overlap between trigeminal autonomic cephalalgias and trigeminal neuralgia.
Trigeminal autonomic cephalalgias (TACs) and trigeminal neuralgia (TN) are classified as distinct disorders, although overlap syndromes are increasingly recognized. We retrospectively describe five women with TAC-tic overlap: two with SUNCT-tic, two with cluster-tic, and one with paroxysmal hemicran…
A Stitch in Time Saves Nine: Retrosigmoid Craniotomy with Layered Suboccipital Muscle Dissection to Prevent Cerebrospinal Fluid Leak and Infection.
Numerous modifications to the retrosigmoid craniotomy (RSC) have been reported, including variations in skin incision, soft tissue dissection, craniotomy, and closure techniques. This study aims to demonstrate a modified suboccipital muscle dissection technique for RSC with a detailed anatomical des…
Peripheral Nerve Blocks in the Treatment of Pediatric Headache and Neuralgia: A Scoping Review.
Pericranial peripheral nerve blocks are widely used in pediatric headache practice by subspecialty clinicians, but the published studies vary in technique, indications, and outcome reporting. The objective of this scoping review was to describe the existing evidence of pericranial peripheral nerve b…
Patterns of head and neck pain and obstructive sleep apnea in women with macromastia: A cross-sectional analysis.
Symptomatic macromastia, or breast hypertrophy, is associated with musculoskeletal and neurological symptoms, including headache and neck pain. Though insurers list headache as an indication for breast reduction surgery, its relationship to specific headache phenotypes, neck pain disorders, and slee…
Local Coverage Determinations for Peripheral Nerve Injections and Procedures for Chronic Pain: Policy Changes, Clinical Limitations, and Health-Equity Implications.
Five Medicare Administrative Contractors (MACs)-CGS, Palmetto GBA, Wellpoint Federal (formerly National Government Services), Wisconsin Physicians Service, and Noridian-participated in a collaborative policy-development process addressing peripheral nerve injections and related procedures for chroni…