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KMID : 1155520140090010027
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Anesthesia and Pain Medicine
2014 Volume.9 No. 1 p.27 ~ p.30
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Combined third occipital and C3 deep medial branch neurotomy in a patient with C2-3 facet joint osteoarthritis associated cervicogenic headaches -A case report-
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Kang Sang-Soo
Yi Young-Jin
Yoon Young-Jun
Shin Keun-Man
Yoo Hong-Seong
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Abstract
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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.
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KEYWORD
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Cervicogenic headache, Osteoarthritis, Radiofre-quency, Zygapophysial joint
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