title: Greater Occipital Nerve Blockade: A Safe and Effective Option for the Acute Treatment of Hemiplegic Aura.
abstract: BACKGROUND
  Prolonged auras such as those of hemiplegic migraine or migraine with brainstem aura may be extremely disabling. The availability of effective treatments is limited, but two case reports described cessation of the aura symptoms after a greater occipital nerve (GON) blockade.
  
  
  METHODS
  A 26-year-old woman with a history of hemiplegic migraine with prolonged auras came to our office with an episode of motor and sensory aura 1 hour after onset. Both muscle strength and sensory function started to improve immediately after a GON anesthetic blockade, and the patient was fully relieved in 50 minutes.
  
  
  CONCLUSIONS
  GON blockade may be an effective option for the acute treatment of hemiplegic aura or other prolonged migraine auras.
authors.affiliation: Department of Neurology, Hospital Clínico San Carlos, Madrid, Spain.|Department of Neurology, Hospital Universitario Fundación Alcorcón, Alcorcón, Madrid, Spain.|Department of Neurology, Hospital Quirón Madrid, Pozuelo de Alarcón, Madrid, Spain.
authors.forename: Javier
authors.initials: J
authors.lastname: Casas-Limón
authors.affiliation: Department of Neurology, Hospital Clínico San Carlos, Madrid, Spain.
authors.forename: Ángel
authors.initials: Á
authors.lastname: Aledo-Serrano
authors.affiliation: Department of Neurology, Hospital Clínico San Carlos, Madrid, Spain.
authors.forename: Belén
authors.initials: B
authors.lastname: Abarrategui
authors.affiliation: Department of Neurology, Hospital Clínico San Carlos, Madrid, Spain.|Department of Medicine, Universidad Complutense, Madrid, Spain.
authors.forename: María-Luz
authors.initials: ML
authors.lastname: Cuadrado
mesh_terms: D000328:Adult; D000779:Anesthetics, Local / Q000008:administration & dosage; D002045:Bupivacaine / Q000008:administration & dosage; D005260:Female; D006429:Hemiplegia / Q000601:surgery*; D006801:Humans; D007267:Injections; D020325:Migraine with Aura / Q000601:surgery*; D009407:Nerve Block; D013127:Spinal Nerves / Q000601:surgery*; D016896:Treatment Outcome
chemical_list: D000779:Anesthetics, Local; D002045:Bupivacaine
keywords: greater occipital nerve; hemiplegic migraine; migraine aura; nerve blockade; treatment