title: Treatment of migraine with occipital nerve blocks using only corticosteroids.
abstract: The indications for using steroids when performing occipital nerve blocks (ONBs) are not completely clear. We report a patient with chronic migraines who was allergic to local anesthetics, for whom ONBs using only corticosteroid proved useful. To our knowledge, this is only published case describing the effects of ONBs using only corticosteroid, without local anesthetic.
authors.affiliation: 21st Century Neurology, Phoenix, AZ 85004, USA.
authors.forename: Joshua
authors.initials: J
authors.lastname: Tobin
authors.forename: Stephen
authors.initials: S
authors.lastname: Flitman
mesh_terms: D000287:Administration, Topical; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use*; D000328:Adult; D000779:Anesthetics, Local / Q000009:adverse effects; D004342:Drug Hypersensitivity / Q000150:complications; D005260:Female; D006801:Humans; D006854:Hydrocortisone / Q000008:administration & dosage / Q000627:therapeutic use; D008279:Magnetic Resonance Imaging; D008775:Methylprednisolone / Q000008:administration & dosage / Q000627:therapeutic use; D008881:Migraine Disorders / Q000188:drug therapy*; D009407:Nerve Block; D011247:Pregnancy; D020181:Sleep Apnea, Obstructive / Q000150:complications; D013127:Spinal Nerves; D016896:Treatment Outcome
chemical_list: D000305:Adrenal Cortex Hormones; D000779:Anesthetics, Local; D006854:Hydrocortisone; D008775:Methylprednisolone