Primary Cough Headache Responded to Ultrasound Guided Greater Occipital Nerve Block: A Case Report Ultrason Eşliğinde Proksimal Büyük Oksipital Sinir Blokajına Yanıt Veren Primer Öksürük Baş Ağrısı: Olgu Sunumu
Noropsikiyatri Arsivi, cilt.62, sa.1, ss.87-89, 2025 (SCI-Expanded, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 62 Sayı: 1
- Basım Tarihi: 2025
- Doi Numarası: 10.29399/npa.28613
- Dergi Adı: Noropsikiyatri Arsivi
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, Psycinfo, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.87-89
- Anahtar Kelimeler: cough headache, GONB, PCH, proximal greater occipital nerve block, ultrasound
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Introduction: Primary Cough Headache (PCH) is a rare type of headache and needs to be evaluated after exlusion of secondary reasons. There are limited number of case reports in the literature about treatment modalities. Case: Herein, we report that a 42-year-old female patient with PCH who could not use the oral medication because of side effects. When she came to the pain clinic with an attack with intensity of 9/10, we took her to the local operating room. The ultrasound (US) guided proximal greater occipital nerve block with bupivacaine was performed and the intensity of the attack was reduced to 2/10. The blockage was repeated once a week for a month. After two months, both the intensity of headache and number of attacks decreased and no adverse effect was observed. Conclusion: PCH is a challenge for physicians because of the severity of attacks and difficulty in ruling out secondary causes at the time of diagnosis. The US-guided PGONB can be performed in the emergency department for the PCH when medical treatment fails.