The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Bipolar Pulsed Radiofrequency Denervation of Third Occipital Nerve in Patient with Cervicogenic Headache - A case report -

경추성 두통 환자에서 제3 후두신경의 양극탐침을 이용한 박동 성 고주파 신경차단술 - 증례보고 -

  • Lee, Suk Young (Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Sim, Woo Seog (Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Lee, Sang Min (Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Chang, In Young (Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 이숙영 (성균관대학교 의과대학 삼성서울병원 마취통증의학교실) ;
  • 심우석 (성균관대학교 의과대학 삼성서울병원 마취통증의학교실) ;
  • 이상민 (성균관대학교 의과대학 삼성서울병원 마취통증의학교실) ;
  • 장인영 (성균관대학교 의과대학 삼성서울병원 마취통증의학교실)
  • Received : 2008.06.11
  • Accepted : 2008.07.12
  • Published : 2008.08.30
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Abstract

Pulsed or conventional radiofrequency (RF) denervation of the third occipital nerve (TON) is considered to be a safe and effective alternative for the treatment of pain originating from the cervical 2-3 facet joint, including cervicogenic headache. However, proper positioning of the RF probe in the TON can be difficult and time consuming due to the possible involvement of various lesions along the target nerve. We found that bipolar RF is easier to perform and more convenient than unipolar RF when administering a lumbar medial branch block. Here, we report the successful treatment of a patient with a cervicogenic headache by pulsed RF (PRF) denervation of the TON, using a bipolar probe. We believe that bipolar PRF denervation of the TON is an effective alternative to unipolar RF or PRF for the treatment of pain originating from the cervical 2-3 facet joint.

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References

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