Rosenthal Jeffrey, AuYong Nicholas, Swerlick Robert, Weinberg Brent D
Department of Radiology and Imaging Sciences, Emory University School of Medicine, 1364 Clifton Road Northeast, Suite BG20, Atlanta, GA 30319, USA.
Department of Neurosurgery, Emory University School of Medicine, Atlanta, GA, USA.
Radiol Case Rep. 2021 Dec 20;17(3):623-627. doi: 10.1016/j.radcr.2021.11.050. eCollection 2022 Mar.
Greater occipital nerve blocks and thermal ablations have been widely discussed as an efficacious treatment strategy for multiple difficult to treat conditions, including occipital neuralgia, migraines, and cervicogenic headaches. Nerve blocks have also recently been presented as a method of treating neuropathic itch in the upper extremities, where pruritus occurs without visible dermatologic manifestations. We report a case of refractory occipital scalp pruritus in a patient who had excellent although time-limited response to greater occipital nerve blocks but achieved durable symptom control with CT-guided greater occipital nerve ablation.
枕大神经阻滞和热消融作为一种有效的治疗策略，已被广泛讨论用于多种难治性疾病，包括枕神经痛、偏头痛和颈源性头痛。神经阻滞最近也被提出作为一种治疗上肢神经性瘙痒的方法，上肢瘙痒在没有明显皮肤表现的情况下发生。我们报告了一例难治性枕部头皮瘙痒患者，该患者对枕大神经阻滞有良好但有限的反应，但通过CT引导下的枕大神经消融实现了持久的症状控制。
