Ghaly Ramsis F, Plesca Ana, Candido Kenneth D, Knezevic Nebojsa Nick
From the Department of Anesthesiology, Advocate Illinois Masonic Medical Center, Chicago, Illinois.
Ghaly Neurosurgical Associates, Aurora, Illinois.
A A Pract. 2018 Jul 1;11(1):4-7. doi: 10.1213/XAA.0000000000000709.
Occipital neuralgia is the third most common headache syndrome after migraine and tension type headaches. There is no well-established treatment regimen for a reliable cure. The current case presents a 39-year-old woman, diagnosed with occipital neuralgia of idiopathic cause. The condition was difficult to control by conservative or interventional approaches. The patient was started on conventional transcutaneous electrical nerve stimulation, 3 sessions per week. After the procedure, the patient achieved significant pain relief: 1-2/10 on the numeric rating scale, pain initially being 10/10. With maintenance therapy consisting of physical therapy, deep tissue massage, and muscle relaxants, 12 months after starting transcutaneous electrical nerve stimulation therapy, she is pain free.
枕神经痛是继偏头痛和紧张型头痛之后第三常见的头痛综合征。目前尚无成熟的可靠治愈治疗方案。本病例报告了一名39岁女性，被诊断为特发性枕神经痛。该病症难以通过保守或介入方法控制。患者开始接受常规经皮电刺激神经疗法，每周3次。治疗后，患者疼痛明显缓解：数字评分量表上为1 - 2/10，最初疼痛为10/10。通过物理治疗、深层组织按摩和肌肉松弛剂进行维持治疗，在开始经皮电刺激神经疗法12个月后，她已无疼痛。
