背景:枕神经阻滞对于诊断和治疗偏头痛等头痛疾病至关重要,颈源性头痛,枕骨神经痛,和丛集性头痛。在这项研究中,我们旨在研究枕大神经(GON)的潜在压迫点,枕第三神经(TON),和枕小神经(LON),它们被靶向阻滞在枕神经阻滞中,并开发一种容易检测这些点的方法。
方法:要确定GON的潜在压缩点,吨,LON,我们解剖了43、41和26具尸体,分别。一个僵硬的,将分成1×1cm切片的透明工具放置在枕骨外突起上以测量确定的点。从上面看尸体的头部,垂直,每个点对应的坐标分别标注。
结果:六,四,并检测到GON的一个潜在截留点,吨,LON,分别。就侧面而言,GON从斜头下肌的下边界和TON的出射点从C2-C3椎骨到后中线的距离具有统计学意义(p=0.040)。同样,LON从胸锁乳突肌后边缘到后中线的距离在性别之间有统计学意义(p=0.002).
结论:我们相信,随着所开发的方法,GON,吨,和LON压缩点可以很容易地定位和阻塞在诊断和治疗患者的头痛,如偏头痛,宫颈源性头痛,枕骨神经痛,和丛集性头痛。
BACKGROUND: Occipital nerve blocks are essential in diagnosing and treating headache disorders such as migraine, cervicogenic headache, occipital neuralgia, and cluster headache. In this study, we aimed to investigate the potential compression points of the greater occipital nerve (GON), third occipital nerve (TON), and lesser occipital nerve (LON) which are targeted to block in occipital nerve blocks and to develop a
method to detect these points easily.
METHODS: To identify potential compression points of the GON, TON, and LON, we dissected 43, 41, and 26 cadavers, respectively. A rigid, transparent tool divided into 1 × 1 cm sections was placed on the external occipital protuberance to measure the determined points. The cadaveric head was viewed from above, vertically, and the coordinates corresponding to each point were noted separately.
RESULTS: Six, four, and one potential entrapment points were detected for the GON, TON, and LON, respectively. The distances of the point where the GON arose from the lower border of the obliquus capitis inferior muscle and the emerging point of the TON from the C2-C3 vertebrae to the posterior midline were statistically significant in terms of the sides (p = 0.040). Similarly, there was a statistical significance between genders for the distance of the point where the LON arose from the posterior edge of the sternocleidomastoid muscle to the posterior midline (p = 0.002).
CONCLUSIONS: We believe that with the
method developed, the GON, TON, and LON compression points can be easily localized and blocked in diagnosing and treating patients experiencing headaches such as migraines, cervicogenic headaches, occipital neuralgia, and cluster headache.