Journal
JOURNAL OF HEAD TRAUMA REHABILITATION
Volume 19, Issue 1, Pages 58-71Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/00001199-200401000-00006
Keywords
brain concussion; brain injuries; cervicogenic headache; headache; bead injuries; occipital nerve block; occipital neuralgia; pain therapy; postconcussive syndrome; whiplash
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Headaches are common following traumatic brain injuries of all severities. Pain generators may be in the head itself or the neck. Headache assessment is discussed. Diagnosis and treatment of cervical headaches syndromes and, in particular, occipital neuralgia are reviewed. Finally, a retrospective study of 10 postconcussive patients with headaches who were treated with greater occipital nerve blocks is presented. Following the injection(s), 80% had a good response and 20% had a partial response. Occipital nerve block is a useful diagnostic and treatment modality in the setting of postconcussive headaches.
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