Ultrasound-guided bilateral greater occipital nerve block on headache seen after endovascular treatment of ruptured or unruptured intracranial aneurysms: A case report
dc.contributor.author | Dogan, Rafi | |
dc.contributor.author | Pinar, Wiseyin Ulas | |
dc.contributor.author | Karaca, Omer | |
dc.contributor.author | Karakoc, Fatma | |
dc.contributor.orcID | 0000-0002-5904-3932 | en_US |
dc.contributor.orcID | 0000-0003-0473-6763 | en_US |
dc.contributor.pubmedID | 33398867 | en_US |
dc.contributor.researcherID | AAJ-7677-2021 | en_US |
dc.date.accessioned | 2021-04-13T07:37:38Z | |
dc.date.available | 2021-04-13T07:37:38Z | |
dc.date.issued | 2020 | |
dc.description.abstract | Headache is a common symptom in subarachnoid hemorrhage (SAH). Often, pain control is difficult and opioid use can have a complicated effect on the patient's state of consciousness. In this study of 2 cases, opioid consumption was reduced while effective pain control of headache occurring after endovascular treatment of an intracranial aneurysm was achieved using an ultrasound-guided, bilateral greater occipital nerve (GON) block. Case 1 was a 59-year-old male patient with a Glasgow Coma Scale (GCS) of 13 who was diagnosed with Fisher scale grade 3 SAH. Coiling and stenting were performed for an anterior communicating artery aneurysm. Cerebrospinal fluid drainage was provided with a lumbar spinal catheter. Case 2 was a 55-yearold male patient with a GCS of 15 who underwent coiling of a fusiform aneurysm in the left basilar artery and stenting of the stenotic region due to a basilar artery aneurysm. After the procedure, the visual analog score (VAS) of the patients was 9 and 7, respectively, and a bilateral GON block was performed with ultrasound guidance.The VAS score of both patients decreased to 3 and did not exceed 3 during follow-up in the intensive care unit, eliminating the need for additional analgesics. A bilateral GON block provided effective analgesia and significantly reduced the need for other pain relief in both cases. | en_US |
dc.identifier.endpage | 227 | en_US |
dc.identifier.isbn | 1300-0012 | en_US |
dc.identifier.issue | 4 | en_US |
dc.identifier.scopus | 2-s2.0-85098593150 | en_US |
dc.identifier.startpage | 223 | en_US |
dc.identifier.uri | https://jag.journalagent.com/agri/pdfs/AGRI-59023-CASE_REPORTS-DOGAN.pdf | |
dc.identifier.uri | http://hdl.handle.net/11727/5664 | |
dc.identifier.volume | 32 | en_US |
dc.identifier.wos | 000590886500007 | en_US |
dc.language.iso | eng | en_US |
dc.relation.isversionof | 10.5505/agri.2018.59023 | en_US |
dc.relation.journal | AGRI-THE JOURNAL OF THE TURKISH SOCIETY OF ALGOLOGY | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi | en_US |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.subject | Aneurysmal subarachnoid hemorrhage | en_US |
dc.subject | headache | en_US |
dc.subject | occipital nerve blockade | en_US |
dc.title | Ultrasound-guided bilateral greater occipital nerve block on headache seen after endovascular treatment of ruptured or unruptured intracranial aneurysms: A case report | en_US |
dc.type | article | en_US |
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