University of California, Irvine, United States.
University of California, Irvine, United States.
Am J Emerg Med. 2018 Jul;36(7):1321.e1-1321.e3. doi: 10.1016/j.ajem.2018.03.054. Epub 2018 Mar 21.
Migraine headaches make up a significant proportion of emergency department visits. There are multiple pharmacologic treatment modalities for migraine abortive therapy; however, these treatments are rarely targeted to the precise area of pain and thus elicit multiple systemic effects. It has been well established in the anesthesia pain literature that occipital nerve blocks can provide not only immediate pain relief from occipital migraines, but can also result in a long-term resolution of occipital migraines. In this case report, we present how an occipital nerve block in the emergency department resulted in immediate and long-lasting resolution of a patient's occipital migraine.
偏头痛占急诊科就诊的很大比例。偏头痛的发作性治疗有多种药物治疗方法；然而，这些治疗方法很少针对疼痛的确切部位，因此会产生多种全身作用。在麻醉疼痛文献中已经很好地确立了，枕神经阻滞不仅可以立即缓解枕部偏头痛的疼痛，而且还可以长期解决枕部偏头痛。在本病例报告中，我们介绍了急诊枕神经阻滞如何立即和长期缓解患者的枕部偏头痛。
