A Case-Based Guide to Eye Pain by Michael S. Lee & KATHLEEN B. DIGRE

Author:Michael S. Lee & KATHLEEN B. DIGRE
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

Follow-Up

The patient underwent a greater occipital nerve block using 1 mL triamcinolone 40 mg/mL and 1 mL 2% lidocaine without epinephrine mixed together into a 3 mL syringe using a 22-gauge 2-in. needle. Five minutes later, the patient’s pain went from 4/10 to 0/10. The patient was pain-free at one-month follow-up and did not return afterward. While an occipital nerve block is very helpful in making the diagnosis of cervicogenic headache, this block also works to treat occipital neuralgia and even migraine; so it is not a diagnostic test. Final diagnosis: cervicogenic headache.

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