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Primary Cough Headache Responded to Ultrasound Guided Greater Occipital Nerve Block: A Case Report
Suna Aşkın Turan1, Şenay Aydın2
1Pain Department, Universty of Health Sciences, Mersin City Research and Training Hospital, Mersin, Türkiye.
Introduction:
Primary Cough Headache (PCH) is a rare type of headache and needs to be evaluated after exlusion of secondary reasons. There are limited number of case reports in the literature about treatment modalities.
Case:
Herein, we report that a 42-year-old female patient with PCH who could not use the oral medication because of side effects. When she came to the pain clinic with an attack with intensity of 9/10 , we took her to the local operating room. The ultrasound (US) guided proximal greater occipital nerve block with bupivacaine was performed and the intensity of the attack was reduced to 2/10. The blockage was repeated once a week for a month. After two months, both the intensity of headache and number of attacks decreased and no adverse effect was observed.
Conclusion:
PCH is a challenge for physicians because of the severity of attacks and difficulty in ruling out secondary causes at the time of diagnosis. The US-guided PGONB can be performed in the emergency department for the PCH when medical treatment fails.
