Combined third occipital and C3 deep medial branch neurotomy in a patient with C2-3 facet joint osteoarthritis associated cervicogenic headaches: A case report.
- Author:
Sang Soo KANG
1
;
Young Jin YI
;
Young Jun YOON
;
Keun Man SHIN
;
Hong Seong YOO
Author Information
1. Department of Anesthesiology and Pain Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. kssege@naver.com
- Publication Type:Case Report
- Keywords:
Cervicogenic headache;
Osteoarthritis;
Radiofrequency;
Zygapophysial joint
- MeSH:
Female;
Head;
Headache;
Humans;
Hypertrophy;
Joints;
Osteoarthritis*;
Post-Traumatic Headache*;
Spine;
Zygapophyseal Joint*
- From:Anesthesia and Pain Medicine
2014;9(1):27-30
- CountryRepublic of Korea
- Language:English
-
Abstract:
Cervicogenic headache is pain from the head due to various sources in the cervical spine. The C2-3 zygapophysial joints are the most commonly involved structure, and this type of headache could be relieved by blocks or neurotomy of the third occipital nerve. A 59-years-old female patient suffered from cervicogenic headaches due to severe C2-3 zygapophysial joint hypertrophy. Her pain was partially relieved by the third occipital radiofrequency neurotomy, and was almost completely removed by C3 deep medial branch neurotomy. Herein, we report a case of osteoarthritis associated cervicogenic headaches at the C2-3 zygapophysial joints and proposed a treatment option.
