The effects of greater occipital nerve blockage with lidocaine on sleep characteristics in chronic migraine patients

Purpose: The aim of our study was to determine the effects of greater occipital nerve block (GONB) with lidocaine on sleep characteristics in patients with chronic migraine.Materials and methods: Twenty female patients who underwent GONB with lidocaine were included in the study. The Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), Insomnia Severity Index (ISI), Pre-Sleep Arousal Scale (PSAS), Dysfunctional Beliefs and Attitudes about Sleep Scale (DBAS), Restless Legs Syn-drome Severity Scale (RLSSS), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), and headache diary results before and after the treatment of the patients were compared.Results: We included 20 patients (all females) in our study. The mean age was 35.80 & PLUSMN; 8.82 years (range 24-50). After GON blockade, the number of days with pain (p < 0.001), duration of pain (p < 0.001), and Visual Analog Scale (VAS) score (p < 0.001) were significantly lower than before. After GONB, BDI (p = 0.007), BAI (p = 0.022), ISI (p = 0.009), and PSQI (p = 0.026) scores were significantly lower than before. After GONB, sleep quality was better than before (p = 0.035). Conclusion: This study showed that GONB with lidocaine can improve sleep quality, insomnia, and symptoms of depression and anxiety while reducing migraine headache.

Automated summary

The aim of this study was to investigate the effects of greater occipital nerve block (GONB) with lidocaine on sleep characteristics in patients with chronic migraine. Twenty female patients underwent GONB and their sleep quality, insomnia, and symptoms of depression and anxiety were assessed before and after the treatment. The results showed that GONB with lidocaine significantly improved sleep quality, reduced migraine headache, and alleviated symptoms of depression and anxiety.