Abstract Details

Title Trigeminal and Occipital Nerve Blocks: An Alternative for the Treatment of Post Traumatic Headaches?

Topic Neural Repair/Rehabilitation

Presentation(s) P04 - (-)

Poster/Presentation
Number 028

Objective

Background BACKGROUND: Post concussive headaches are the most common symptom encountered in patients following a mild TBI occurring in 25 to 78 percent of patients.

Design/Methods DESIGN/METHODS: Retrospective chart review in a concussion clinic of 218 patients who suffered post concussive headaches consistent with trigeminal and/or occipital neuralgia who underwent a trigeminal and/or occipital nerve block. Changes in pain score (from 1-10) after trigeminal and/or occipital nerve blocks were compared before, after the procedure and at follow up visits.

Results RESULTS: From a total of 218 charts screened, 18 patients with an average age of 21 received trigeminal and occipital nerve blocks with mixture bupivicane 0.5% and kenalog -40. There were 7 subjects with trigeminal neuralgia, and 6 with occipital neuralgia, and 5 subjects with both. The average initial pain score was 7/10, immediate post block pain score was 0 for 17 patients, and for one patient was 2/10. The patients had an average follow up of 55 days, with follow pain score of 0 in most of the cases. Adverse events included one patient who had transient numbness of the face in the superior orbital distribution and one subject felt light-headed for 10 minutes after the procedure.

Conclusions CONCLUSIONS: Trigeminal and occipital nerve blocks performed in patients with post traumatic headaches seems a safe and effective therapy for post concussive headaches.

Authors/Disclosures
Ana L. Delgado, MD PRESENTER	Dr. Delgado has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Amneal.
	No disclosure on file
Gary Gualberto, MD	No disclosure on file
Kester J. Nedd, DO (Design Neuroscience Center)	No disclosure on file
	No disclosure on file

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