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Repetitive occipital nerve blockade for cervicogenic headache: expanded case report of 47 adults
Zoher M Naja1, Mariam El-Rajab, Mohamad A Al-Tannir
1Anesthesia Department, Makassed General Hospital, Beirut, Lebanon. zouhnaja@yahoo.com
Purpose:
To evaluate the repetitive occipital nerve blocks using a nerve stimulator in the treatment of cervicogenic headache.
Methods:
This prospective noncomparative clinical interventional case-series study included 47 patients suffering from cervicogenic headache using a repetitive guided occipital nerve blockade.
Results:
Forty-one patients (87%) required more than one injection to achieve six-month pain-relief period. For every three years of headache history, the outcomes demonstrated that a patient needed one additional injection to the basic injection.
Conclusion:
The repeated nerve stimulator-guided occipital nerve blockade is a treatment mode that may relieve cervicogenic headache with no recurrence for at least six months in addition to alleviation of associated symptoms.

