The Korean Journal of Pain  2006;19(2):244-248

doi:10.3344/kjp.2006.19.2.244

Third Occipital Nerve Radiofrequency Neurotomy with Radiologic Open Mouth View: A case report.

Jung Ju PARK 1 ; Mi Ae JUNG ; Jae Chol SHIM

Affiliations

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Keywords

radiofrequency lesioning; third occipital nerve

Country

Republic of Korea

Language

Korean

Abstract

Radiofrequency lesioning is a valuable tool for third occipital headache. Relative to most neural targets, a radiofrequency lesion is very small. Reliable pre-operative diagnosis of the nociceptive source is critical, as inappropriately placed lesions will not modulate pain. Knowledge of the anatomical courses of nerves and extremely precise electrode placement are required for accurate lesioning. This report describes our experience with RF lesioning in the treatment of chronic pain in two patients who suffered from third occipital headaches. In one patient, satisfactory improvement of the pain was observed after 10 months of follow up.