• Am J Emerg Med · Jul 2018

    Case Reports

    Use of occipital nerve block in emergency department treatment of status migrainosus.

    • Justin Yanuck, Ariana Nelson, and Maxwell Jen.
    • University of California, Irvine, United States. Electronic address: jyanuck@uci.edu.
    • Am J Emerg Med. 2018 Jul 1; 36 (7): 1321.e1-1321.e3.

    AbstractMigraine 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.Copyright © 2018 Elsevier Inc. All rights reserved.

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