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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