Carteiro Jorge, Torres Nuno, Rodrigues Idalina, Ormonde Lucindo
Anesthesiology, Unidade Local de Saúde (ULS) Santa Maria, Lisboa, PRT.
Cureus. 2025 May 16;17(5):e84240. doi: 10.7759/cureus.84240. eCollection 2025 May.
The greater occipital nerve (GON) is primarily responsible for the sensory innervation of the posterior region of the scalp. GON block has been described as a safe and effective therapeutic option for various types of headaches, including occipital neuralgia, migraine, cervicogenic headache, and cluster headache. Despite its established role in headache management, there is a paucity of evidence in the literature regarding its use in the perioperative setting, particularly in surgeries involving the occipital region of the scalp. In this context, we present a case series of three patients undergoing excision of malignant tumors in the occipital scalp region, followed by reconstruction. GON block was performed following anesthetic induction to evaluate its efficacy in postoperative pain control. The results suggest that this technique may provide effective analgesia while also contributing to reduced opioid consumption.
枕大神经（GON）主要负责头皮后部区域的感觉神经支配。枕大神经阻滞已被描述为治疗各种类型头痛的一种安全有效的治疗选择，包括枕神经痛、偏头痛、颈源性头痛和丛集性头痛。尽管其在头痛管理中已确立作用，但文献中关于其在围手术期的应用，特别是在涉及头皮枕部区域的手术中的应用，证据不足。在此背景下，我们呈现了一组三例在枕部头皮区域进行恶性肿瘤切除并随后进行重建的患者病例系列。在麻醉诱导后进行枕大神经阻滞，以评估其在术后疼痛控制中的疗效。结果表明，该技术可能提供有效的镇痛作用，同时也有助于减少阿片类药物的消耗。
