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Anatomical analysis of the distribution patterns of occipital cutaneous nerves and the clinical implications for pain management

Authors
 Hyun-Jin Kwon  ;  Hong-San Kim  ;  Jehoon O  ;  Hyo Jong Kang  ;  Ji Yeon Won  ;  Hun-Mu Yang  ;  Shin Hyung Kim  ;  You-Jin Choi 
Citation
 JOURNAL OF PAIN RESEARCH, Vol.11 : 2023-2031, 2018 
Journal Title
 JOURNAL OF PAIN RESEARCH 
Issue Date
2018
Keywords
Sihler’s stain ; greater occipital nerve ; lesser occipital nerve ; occipital neuralgia ; third occipital nerve ; whole mount nerve staining
Abstract
Purpose: Establishing the distribution patterns of occipital cutaneous nerves may help us understand their contribution to various occipital pain patterns and ensure that a proper local injection method for treatment is employed. The aim of this study was to demonstrate the detailed distribution patterns of the greater occipital nerve (GON), lesser occipital nerve (LON), and third occipital nerve (TON) using the modified Sihler's staining technique. Methods: Ten human cadavers were manually dissected to determine the nerve distributions. Specimens from eight human cadavers were treated using the modified Sihler's staining. Results: In all cases, distinct GON branches proceeded laterally and were intensively distributed in the superolateral area from their emerging point. Very thin twigs were observed at the middle-trisected area, which had a fan-like shape, in the middle-upper occipital region. Conclusion: The LON and TON distribution areas were biased to the lateral side below the superior nuchal line, although these nerves exhibited multiple interconnections or overlapping areas with the GON. Furthermore, a nerve rarified zone in the shape of an inverted triangle was identified in the middle occipital area. Our findings improve our understanding of the occipital nerve anatomy and will aid in the management of occipital pain in clinical practice.
Files in This Item:
T201803179.pdf Download
DOI
10.2147/JPR.S175506
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Anatomy (해부학교실) > 1. Journal Papers
2. College of Dentistry (치과대학) > Dept. of Oral Biology (구강생물학교실) > 1. Journal Papers
Yonsei Authors
Kang, Hyo Jong(강효정)
Kwon, Hyun-Jin(권현진) ORCID logo https://orcid.org/0000-0001-7752-6172
Kim, Shin Hyung(김신형) ORCID logo https://orcid.org/0000-0003-4058-7697
Yang, Hun Mu(양헌무) ORCID logo https://orcid.org/0000-0003-1954-0114
O, Jehoon(오제훈) ORCID logo https://orcid.org/0000-0003-4351-3183
Choi, You Jin(최유진) ORCID logo https://orcid.org/0000-0003-3701-2200
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/163702
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