Fernandes Linford, Randall Marc, Idrovo Luis
Neurology, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Headache Service, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Pract Neurol. 2020 Oct 23. doi: 10.1136/practneurol-2020-002612.
Headache is a common neurological referral and a frequent cause for acute hospital admissions. Despite peripheral nerve blocks being widely used in headache and pain services to treat patients with headache disorders, there is no readily accessible resource with instructions for the delivery of peripheral nerve blocks. Here we provide a practical approach for administering peripheral nerve blocks and cover the current evidence base for such procedures in different headache disorders. We provide instructions and an audiovisual guide for administering greater and lesser occipital, supratrochlear, supraorbital and auriculotemporal nerves blocks, and give information on their adverse effects and potential complications. This information will provide a reference for headache practitioners when giving peripheral nerve blocks safely to people with headache.
头痛是常见的神经科转诊原因，也是急性住院的常见病因。尽管周围神经阻滞在头痛和疼痛治疗服务中被广泛用于治疗头痛障碍患者，但目前尚无易于获取的关于实施周围神经阻滞的指导资源。在此，我们提供一种实施周围神经阻滞的实用方法，并涵盖不同头痛障碍中此类操作的现有证据基础。我们提供了关于枕大神经、枕小神经、滑车上神经、眶上神经和耳颞神经阻滞操作的指导及视听指南，并介绍了其不良反应和潜在并发症。这些信息将为头痛治疗从业者在安全地为头痛患者实施周围神经阻滞时提供参考。
