Neurol India Home 
 

REVIEW ARTICLE
Year : 2021  |  Volume : 69  |  Issue : 7  |  Page : 219--227

Occipital Neuralgia: Advances in the Operative Management

Christine E Wamsley, Michael Chung, Bardia Amirlak 
 Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA

Correspondence Address:
Dr. Bardia Amirlak
Department of Plastic Surgery, 1801 Inwood Rd., Dallas, TX - 75390
USA

Background: Occipital neuralgia (ON) is a primary headache disorder characterized by sharp, shooting, or electric shock-like pain in the distribution of the greater, lesser, or third occipital nerves. Aim: To review the existing literature on the management of ON and to describe our technique of an endoscopic-assisted approach to decompress the GON proximally in areas of fibrous and muscular compression, as well as distally by thorough decompression of the occipital artery from the nerve. Methods: Relevant literature on the medical and surgical management of ON was reviewed. Literature on the anatomical relationships of occipital nerves and their clinical relevance were also reviewed. Results: While initial treatment of ON is conservative, peripheral nerve blocks and many surgical management approaches are available for patients with pain refractory to the medical treatment. These include greater occipital nerve blocks, occipital nerve stimulation, Botulinum toxin injections locally, pulsed radiofrequency ablation, cryoneuroablation, C-2 ganglionectomy, and endoscopic-assisted ON decompression. Conclusion: Patients of ON refractory to medical management can be benefitted by surgical approaches and occipital nerve blocks. Endoscopic-assisted ON decompression provides one such approach for the patients with vascular, fibrous or muscular compressions of occipital nerves resulting in intractable ON.


How to cite this article:
Wamsley CE, Chung M, Amirlak B. Occipital Neuralgia: Advances in the Operative Management.Neurol India 2021;69:219-227


How to cite this URL:
Wamsley CE, Chung M, Amirlak B. Occipital Neuralgia: Advances in the Operative Management. Neurol India [serial online] 2021 [cited 2021 Jul 26 ];69:219-227
Available from: https://www.neurologyindia.com/article.asp?issn=0028-3886;year=2021;volume=69;issue=7;spage=219;epage=227;aulast=Wamsley;type=0