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Cushing Syndrome Induced by Serial Occipital Nerve Blocks Containing Corticosteroids
Author(s) -
Lavin Patrick J.,
Workman Robert
Publication year - 2001
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/j.1526-4610.2001.01165.x
Subject(s) - medicine , headaches , corticosteroid , cushing syndrome , blockade , anesthesia , surgery , endocrinology , receptor
A patient with chronic daily headaches developed overt signs of Cushing syndrome during treatment with serial occipital nerve block injections. Investigation demonstrated an exogenous source of corticosteroids as the cause of the Cushing syndrome in this patient, thus, implicating the corticosteroid component of the occipital nerve blocks. To our knowledge, this is the first report of Cushing syndrome caused by occipital nerve blockade. Caution is warranted in employing even usual therapeutic doses of synthetic corticosteroids, particularly in long‐acting or depot preparations.