Ultrasound-guided bilateral greater occipital nerve block on headache seen after endovascular treatment of ruptured or unruptured intracranial aneurysms: A case report

dc.contributor.authorDogan, Rafi
dc.contributor.authorPinar, Wiseyin Ulas
dc.contributor.authorKaraca, Omer
dc.contributor.authorKarakoc, Fatma
dc.contributor.orcID0000-0002-5904-3932en_US
dc.contributor.orcID0000-0003-0473-6763en_US
dc.contributor.pubmedID33398867en_US
dc.contributor.researcherIDAAJ-7677-2021en_US
dc.date.accessioned2021-04-13T07:37:38Z
dc.date.available2021-04-13T07:37:38Z
dc.date.issued2020
dc.description.abstractHeadache 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.endpage227en_US
dc.identifier.isbn1300-0012en_US
dc.identifier.issue4en_US
dc.identifier.scopus2-s2.0-85098593150en_US
dc.identifier.startpage223en_US
dc.identifier.urihttps://jag.journalagent.com/agri/pdfs/AGRI-59023-CASE_REPORTS-DOGAN.pdf
dc.identifier.urihttp://hdl.handle.net/11727/5664
dc.identifier.volume32en_US
dc.identifier.wos000590886500007en_US
dc.language.isoengen_US
dc.relation.isversionof10.5505/agri.2018.59023en_US
dc.relation.journalAGRI-THE JOURNAL OF THE TURKISH SOCIETY OF ALGOLOGYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergien_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAneurysmal subarachnoid hemorrhageen_US
dc.subjectheadacheen_US
dc.subjectoccipital nerve blockadeen_US
dc.titleUltrasound-guided bilateral greater occipital nerve block on headache seen after endovascular treatment of ruptured or unruptured intracranial aneurysms: A case reporten_US
dc.typearticleen_US

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