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Revista de la Sociedad Española del Dolor
versão impressa ISSN 1134-8046
Resumo
HERREJON GALAVIZ, G I et al. Suboccipital decompression as an alternative in the treatment of pain secundary to occipital neuralgia: a case series. Rev. Soc. Esp. Dolor [online]. 2020, vol.27, n.3, pp.221-226. Epub 14-Set-2020. ISSN 1134-8046. https://dx.doi.org/10.20986/resed.2020.3791/2020.
Introduction:
Occipital neuralgia is an entity with well-defined components, but occasionally underdiagnosed that tends to maintain insidious behavior and generate some resistance to medical treatment, maintaining a good response to interventional management with a minimum rate of associated complications and pain relief. Satisfactory and prolonged.
Case description:
We present 5 cases of patients with defined criteria for occipital neuralgia by (IHS) which were managed by suboccipital decompression, evaluated by the analog numerical scale and analogous verbal scale over a period of 90 days. The procedures were performed without complications or adverse events. The result was a satisfactory relief for the patient of chronic pain, with adequate specificity of the site of the condition; as well as improvement in the quality of life, mood, medication consumption and patient satisfaction.
Conclusions:
We consider that the use of decompression of the major occipital nerve via suboccipital route can be taken as an alternative in patients with occipital neuralgia, with a high probability of obtaining an analgesic benefit and a low probability of presenting some adverse effect or complication.
Palavras-chave : Arnold's neuralgia; occipital neuralgia; suboccipital neuralgia; occipital nerve.