Radiofrequency thermocoagulation of the C2 root for cervicogenic headache

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  • 高周波熱凝固法を用いたC2神経根ブロックが有効であった頸原性頭痛の1例
  • 症例 高周波熱凝固法を用いたC2神経根ブロックが有効であった頸原性頭痛の1例
  • ショウレイ コウシュウハ ネツ ギョウコホウ オ モチイタ C2 シンケイ コン ブロック ガ ユウコウ デ アッタ ケイ ゲンセイ ズツウ ノ 1レイ

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Abstract

<p>We report a patient with cervicogenic headache who was treated with radiofrequency thermocoagulation of the C2 root. A 29 year-old woman presented in X−8 year with a headache in the left occipital area following a fall from the bed. The headache resolved with medical therapy. In X−4 year, the headache recurred. A stenosis of the intervertebral foramen at C1/2 by a bone splinter was thought to be the cause of the headache from a computed tomography finding. Foraminotomy was performed and the headache disappeared. However, a bone splinter recurred again in X year. Oral medication and physical therapy were not effective; she had difficulty sleeping and working because of the headache. Local anesthetic injection paravertebral to C2 was effective in the short term. She was treated with radiofrequency ablation of the C2 root and the headache was well controlled. This case demonstrated the effectiveness of radiofrequency ablation in treating cervicogenic headache originating from the C2 root.</p>

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