背景:紧张型头痛(TTH)是最常见的原发性头痛类型,和触发点注射(TPI)经常用于控制源自TTH的疼痛。在当前的报告中,我们介绍了一种涉及4条颈部肌肉(上斜方肌,脾炎,半壁肌炎,和下斜头炎)和在同一超声检查视图内进行枕大神经(GON)阻滞,以治疗TTH。
方法:一名44岁的妇女抱怨压迫和收紧,非脉动,反复发作的头痛,主要在双侧枕骨区,持续约6个月(数字评定量表:5)。病人没有恶心,呕吐,畏光,或恐惧症。
方法:患者被诊断为患有TTH。
方法:在超声(US)指导下,将2mL2%利多卡因和5mL生理盐水的混合溶液逐层注入颈部的4个目标肌肉(上斜方肌,脾炎,半壁肌炎,和下斜头炎),并在两侧相同的超声检查视图中靠近右侧GON。
结果:注射后2周和4周的随访显示没有头痛。我们的US指导的5合1TPI技术可用于治疗TTH患者。
结论:我们相信它有助于减少手术时间和相关疼痛。
BACKGROUND: Tension-type headache (TTH) is the most common type of primary headache, and trigger point injection (TPI) is frequently used for controlling pain originating from TTHs. In the current report, we introduce a TPI technique involving 4 neck muscles (upper trapezius, splenius capitis, semispinalis capitis, and inferior oblique capitis) and a greater occipital nerve (GON) block within the same sonographic view for the treatment of TTHs.
METHODS: A 44-year-old woman complained with pressing and tightening, nonpulsating, recurrent headaches, mainly in the bilateral occipital area, lasting for approximately 6 months (numeric rating scale: 5). The patient had no nausea, vomiting, photophobia, or phonophobia.
METHODS: The patient was diagnosed as having a TTH.
METHODS: Under ultrasound (US) guidance, a mixed solution of 2 mL of 2% lidocaine and 5 mL of normal saline was injected layer-by-layer into the 4 target muscles of the neck (upper trapezius, splenius capitis, semispinalis capitis, and inferior oblique capitis) and near the right GON within the same sonographic view bilaterally.
RESULTS: Two- and 4-week follow-ups after administration of the injections revealed no headache. Our US-guided 5-in-1 TPI technique is viable for treating patients with TTH.
CONCLUSIONS: We believe that it can aid in reducing the procedure time and associated pain.