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dc.contributor.author이형중-
dc.date.accessioned2016-05-03T06:51:42Z-
dc.date.available2016-05-03T06:51:42Z-
dc.date.issued2015-01-
dc.identifier.citationACTA NEUROCHIRURGICA, v. 157, NO 1, Page. 85-92en_US
dc.identifier.issn0001-6268-
dc.identifier.issn0942-0940-
dc.identifier.urihttp://hdl.handle.net/20.500.11754/21051-
dc.identifier.urihttps://link.springer.com/article/10.1007%2Fs00701-014-2255-x-
dc.description.abstractBackground Occipital neuralgia is a rare cause of severe headache characterized by paroxysmal shooting or stabbing pain in the distribution of the greater occipital or lesser occipital nerve. In cases of intractable occipital neuralgia, a definite cause has not been uncovered, so various types of treatment have been applied. The aim of this study is to evaluate the prognostic factors, safety, and long-term clinical efficacy of second cervical (C2) ganglion decompression for intractable occipital neuralgia. Methods Retrospective analysis was performed in 68 patients with medically refractory occipital neuralgia who underwent C2 ganglion decompression. Factors based on patients’ demography, pre- and postoperative headache severity/characteristics, medication use, and postoperative complications were investigated. Therapeutic success was defined as pain relief by at least 50 % without ongoing medication. Results The visual analog scale (VAS) score was significantly reduced between the preoperative and most recent follow-up period. One year later, excellent or good results were achieved in 57 patients (83.9 %), but poor in 11 patients (16.1 %). The long-term outcome after 5 years was only slightly less than the 1-year outcome; 47 of the 68 patients (69.1 %) obtained therapeutic success. Longer duration of headache (over 13 years; p = 0.029) and presence of retro-orbital/frontal radiation (p = 0.040) were significantly associated with poor prognosis. Conclusions In the current study, C2 ganglion decompression provided durable, adequate pain relief with minimal complications in patients suffering from intractable occipital neuralgia. Due to the minimally invasive and nondestructive nature of this surgical procedure, C2 ganglion decompression is recommended as an initial surgical treatment option for intractable occipital neuralgia before attempting occipital nerve stimulation. However, further study is required to manage the pain recurrence associated with longstanding nerve injury.en_US
dc.language.isoen-
dc.publisherSPRINGER WIENen_US
dc.subjectDecompression, surgicalen_US
dc.subjectHeadacheen_US
dc.subjectNeuralgiaen_US
dc.subjectPain, intractableen_US
dc.subjectTreatment outcomeen_US
dc.titleLong-term outcome and prognostic factors after C2 ganglion decompression in 68 consecutive patients with intractable occipital neuralgiaen_US
dc.typeArticleen_US
dc.relation.no1-
dc.relation.volume157-
dc.identifier.doi10.1007/s00701-014-2255-x-
dc.relation.page85-92-
dc.relation.journalACTA NEUROCHIRURGICA-
dc.contributor.googleauthorChoi, Kyu-Sun-
dc.contributor.googleauthorKo, Yong-
dc.contributor.googleauthorKim, Young-Soo-
dc.contributor.googleauthorYi, Hyeong-Joong-
dc.relation.code2015001594-
dc.sector.campusS-
dc.sector.daehakCOLLEGE OF MEDICINE[S]-
dc.sector.departmentDEPARTMENT OF MEDICINE-
dc.identifier.pidhjyi8499-
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COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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