Occipital Nerve Blocks for Pediatric Posttraumatic Headache

Author:

Seeger Trevor A.1,Orr Serena23,Bodell Lisa4,Lockyer Lisette4,Rajapakse Thilinie4,Barlow Karen M.14

Affiliation:

1. University of Calgary, Calgary, Alberta, Canada

2. Children’s Hospital of Eastern Ontario, Ottawa, Ontario, Canada

3. University of Ottawa, Ottawa, Ontario, Canada

4. Alberta Children’s Hospital, Calgary, Alberta, Canada

Abstract

Posttraumatic headache is one of the most common and disabling symptoms after traumatic brain injury. However, evidence for treating posttraumatic headache is sparse, especially in the pediatric literature. This retrospective chart review evaluated the use of occipital nerve blocks in adolescents treated for posttraumatic headache following mild traumatic brain injury, presenting to the Complex Concussion and Traumatic Brain Injury clinic. Fifteen patients (mean age 15.47; range: 13-17) received occipital nerve block for posttraumatic headache. Follow-up was obtained in 14 patients at 5.57 (standard deviation = 3.52) months postinjury. The headache burden was high, with all except one having headaches 15 or more days per month (median 30, range 10-30). Sixty-four percent reported long-term response to the occipital nerve blocks, with associated improved quality of life and decreased postconcussion symptom scores ( P < .05). One patient reported transient allopecia. Occipital nerve blocks are well tolerated and can be helpful in posttraumatic headache.

Publisher

SAGE Publications

Subject

Neurology (clinical),Pediatrics, Perinatology and Child Health

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