title: Acute treatment of basilar-type migraine with greater occipital nerve blockade.
abstract: Basilar-type migraine (BTM) precludes use of migraine-specific medications such as triptans and ergots based on concerns originating from the vascular theory of migraine, although data supporting this contraindication are lacking. Availability of effective treatments for acute BTM is limited. We report a case of BTM aborted with greater occipital nerve (GON) blockade given in the setting of prominent suboccipital tenderness. GON blockade may provide an additional option in acute management of BTM. It may be particularly useful when associated with prominent ipsilateral suboccipital tenderness.
authors.affiliation: Cleveland Clinic Neurological Institute-Neurology, Center for Headache and Pain, Cleveland, OH, USA.
authors.forename: Eric P
authors.initials: EP
authors.lastname: Baron
authors.forename: Stewart J
authors.initials: SJ
authors.lastname: Tepper
authors.forename: Maryann
authors.initials: M
authors.lastname: Mays
authors.forename: Neil
authors.initials: N
authors.lastname: Cherian
mesh_terms: D005260:Female; D006801:Humans; D008875:Middle Aged; D020325:Migraine with Aura / Q000628:therapy*; D009407:Nerve Block; D013127:Spinal Nerves; D016896:Treatment Outcome