脑后神经对头痛的阻断:一个叙述性回顾
William H Arata1, Rajiv K Midha1, Giustino Varrassi2
1School of Medicine, St. George's University, St. George, Grenada.
Journal of oral & facial pain and headache
|January 13, 2025
概括
尾神经阻塞为慢性头痛提供有效的缓解,为数周到数月提供治疗效益. 这种程序是安全的,可以用于各种类型的头痛,包括偏头痛.
科学领域:
- 神经学 神经学
- 疼痛管理 疼痛管理
背景情况:
- 慢性头痛,包括偏头痛和集群头痛,显著影响生活质量.
- 药物耐药性头痛往往需要使用其他治疗策略.
研究的目的:
- 审查关于尾神经阻塞 (ONBs) 治疗头痛的现有文献.
- 分析ONBs的程序,有效性和安全性.
主要方法:
- 全球关于尾神经阻塞的文献的系统综述.
- 分析头痛管理中的诊断和治疗作用.
主要成果:
- 尾神经阻塞提供了诊断和治疗的好处,症状缓解持续数周到数月.
- 这种手术通常耐受良好,有轻微的副作用,如局部不适或暂时麻木.
- 有效治疗慢性头痛,药物耐药性病例,偏头痛和集群头痛.
结论:
- 尾神经阻塞是慢性头痛症状的有效治疗方法.
- 进一步的研究应侧重于长期结果和组合疗法.
相关概念视频
Glaucoma: Overview
499
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
499
Local Anesthetics: Clinical Application as Spinal Anesthesia
576
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
576
Angle Closure Glaucoma: Treatment
433
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
433
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
355
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
One of the advantages of...
355
Cranial Nerves: Types Part I
1.4K
Cranial nerves are responsible for transmitting motor and sensory information between the brain and various parts of the body. There are twelve pairs of cranial nerves, with the first six being essential in sensory perception, motor control, and autonomic functions related to the head and neck.
Olfactory Nerve (Cranial Nerve I)
The olfactory nerve, or cranial nerve I, is unique as it is purely sensory and dedicated to the sense of smell. This nerve originates in the olfactory epithelium of the...
Olfactory Nerve (Cranial Nerve I)
The olfactory nerve, or cranial nerve I, is unique as it is purely sensory and dedicated to the sense of smell. This nerve originates in the olfactory epithelium of the...
1.4K
Open Angle Glaucoma: Treatment
390
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
390


