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Greater Occipital Nerve Blockade: A Safe and Effective Option for the Acute Treatment of Hemiplegic Aura
Author(s) -
CasasLimón Javier,
AledoSerrano Ángel,
Abarrategui Belén,
Cuadrado MaríaLuz
Publication year - 2015
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1111/head.12607
Subject(s) - aura , blockade , migraine with aura , medicine , migraine , anesthesia , anesthetic agent , sensory system , anesthetic , psychology , neuroscience , receptor
Background Prolonged auras such as those of hemiplegic migraine or migraine with brainstem aura may be extremely disabling. The availability of effective treatments is limited, but two case reports described cessation of the aura symptoms after a greater occipital nerve ( GON ) blockade. Case A 26‐year‐old woman with a history of hemiplegic migraine with prolonged auras came to our office with an episode of motor and sensory aura 1 hour after onset. Both muscle strength and sensory function started to improve immediately after a GON anesthetic blockade, and the patient was fully relieved in 50 minutes. Conclusion GON blockade may be an effective option for the acute treatment of hemiplegic aura or other prolonged migraine auras.