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Anatomical consideration of the occipital cutaneous nerves and artery for the safe treatment of occipital neuralgia

Authors
 Kang‐Jae Shin  ;  Hong‐San Kim  ;  Jehoon O  ;  Hyun‐Jin Kwon  ;  Hun‐Mu Yang 
Citation
 CLINICAL ANATOMY, Vol.31(7) : 1058-1064, 2018 
Journal Title
 CLINICAL ANATOMY 
ISSN
 0897-3806 
Issue Date
2018
Keywords
GON block ; greater occipital nerve ; lesser occipital nerve ; occipital artery ; occipital neuralgia
Abstract
There is no standardized approach to the greater occipital nerve (GON) block technique for treating occipital neuralgia. The aim of the present study was to validate the previously-suggested guidelines for conventional injection techniques and to provide navigational guidelines for safe GON block. The GON, lesser occipital nerve (LON) and occipital artery (OA) were carefully dissected in the occipital region of embalmed cadavers. Using a 3 D digitizer, the GON, LON, and OA were observed on the two reference lines. The distances between the landmarks were recorded and statistically analyzed. On the superior nuchal line, the mean distances between the external occipital protuberance (EOP) and the most medial branch of the GON was 33.5 mm. The mean distance between the EOP and the most medial branch of the OA was 37.4 mm. On the EOP-mastoid process (MP) line, the GON was on the medial third and the LON the lateral third of the EOP-MP line. The safe injection points on the EOP-MP line are about 3 cm from the EOP, 1 cm inferior parallel to the EOP-MP line, and about 3 cm away from the MP.
Full Text
https://onlinelibrary.wiley.com/doi/full/10.1002/ca.23210
DOI
10.1002/ca.23210
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anatomy (해부학교실) > 1. Journal Papers
Yonsei Authors
Kwon, Hyun-Jin(권현진) ORCID logo https://orcid.org/0000-0001-7752-6172
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
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/166664
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