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Spinal Pain
Anesthesia and Pain Medicine 2014;9(1):27-30.
Published online January 30, 2014.
Combined third occipital and C3 deep medial branch neurotomy in a patient with C2-3 facet joint osteoarthritis associated cervicogenic headaches: A case report
Sang Soo Kang, Young Jin Yi, Young Jun Yoon, Keun Man Shin, Hong Seong Yoo
1Department of Anesthesiology and Pain Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. kssege@naver.com
2Department of Anesthesiology and Pain Medicine, Kangdong Sacred Heart Hospital, Ire Pain Clinic, Seoul, Korea.
Received: 27 May 2013   • Revised: 2 July 2013
Abstract
Cervicogenic headache is pain from the head due to various sources in the cervical spine. The C2-3 zygapophysial joints are the most commonly involved structure, and this type of headache could be relieved by blocks or neurotomy of the third occipital nerve. A 59-years-old female patient suffered from cervicogenic headaches due to severe C2-3 zygapophysial joint hypertrophy. Her pain was partially relieved by the third occipital radiofrequency neurotomy, and was almost completely removed by C3 deep medial branch neurotomy. Herein, we report a case of osteoarthritis associated cervicogenic headaches at the C2-3 zygapophysial joints and proposed a treatment option.
Key Words: Cervicogenic headache, Osteoarthritis, Radiofrequency, Zygapophysial joint
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