Bilateral Intra-Articular Radiofrequency Ablation for Cervicogenic Headache
Joint Authors
Chhatre, Akhil
Odonkor, Charles A.
Tang, Teresa
Taftian, David
Source
Case Reports in Anesthesiology
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-01-09
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Introduction.
Cervicogenic headache is characterized by unilateral neck or face pain referred from various structures such as the cervical joints and intervertebral disks.
A recent study of patients with cervical pain showed significant pain relief after cervical medial branch neurotomy but excluded patients with C1-2 joint pain.
It remains unclear whether targeting this joint has potential for symptomatic relief.
To address this issue, we present a case report of C1-2 joint ablation with positive outcomes.
Case Presentation.
A 27-year-old female presented with worsening cervicogenic headache.
Her pain was 9/10 by visual analog scale (VAS) and described as cramping and aching.
Pain was localized suboccipitally with radiation to her jaw and posterior neck, worse on the right.
Associated symptoms included clicking of her temporomandibular joint, neck stiffness, bilateral headaches with periorbital pain, numbness, and tingling.
History, physical exam, and diagnostic studies indicated localization to the C1-2 joint with 80% decrease in pain after C1-2 diagnostic blocks.
She underwent bilateral intra-articular radiofrequency ablation of the C1-C2 joint.
Follow-up at 2, 4, 8, and 12 weeks showed improved function and pain relief with peak results at 12 weeks.
Conclusion.
Clinicians may consider C1-C2 joint ablation as a viable long-term treatment option for cervicogenic headaches.
American Psychological Association (APA)
Odonkor, Charles A.& Tang, Teresa& Taftian, David& Chhatre, Akhil. 2017. Bilateral Intra-Articular Radiofrequency Ablation for Cervicogenic Headache. Case Reports in Anesthesiology،Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1143802
Modern Language Association (MLA)
Odonkor, Charles A.…[et al.]. Bilateral Intra-Articular Radiofrequency Ablation for Cervicogenic Headache. Case Reports in Anesthesiology No. 2017 (2017), pp.1-6.
https://search.emarefa.net/detail/BIM-1143802
American Medical Association (AMA)
Odonkor, Charles A.& Tang, Teresa& Taftian, David& Chhatre, Akhil. Bilateral Intra-Articular Radiofrequency Ablation for Cervicogenic Headache. Case Reports in Anesthesiology. 2017. Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1143802
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1143802