Advertisement

Amirlak Modification of Site 4 Decompression: Endoscopic Assisted Decompression of the Greater Occipital Nerve (GON) with Radical Excision of the Occipital Artery

  • Bardia AmirlakEmail author
  • Michael Chung
  • Mikaela L. Kislevitz
Chapter

Abstract

Migraine in the occipital area may be caused in part by dynamic compression of the nerve with the occipital artery. This modified approach to greater occipital nerve migraine deactivation surgery includes endoscopic visualization, a small counter-incision to address distal compression, and radical lysis of the occipital artery—allowing for maximal visualization and complete release of nerve compression both proximally and distally.

Keywords

Migraine Headache Surgery Decompression Deactivation Endoscopic Occipital Greater occipital nerve Lesser occipital nerve 

References

  1. 1.
    Mosser SW, Guyuron B, Janis JE, Rohrich RJ. The anatomy of the greater occipital nerve: implications for the etiology of migraine headaches. Plast Reconstr Surg. 2004;113(2):693–7; discussion 698–700CrossRefGoogle Scholar
  2. 2.
    Dash KS, Janis JE, Guyuron B. The lesser and third occipital nerves and migraine headaches. Plast Reconstr Surg. 2005;115(6):1752–8; discussion 1759–60CrossRefGoogle Scholar
  3. 3.
    Janis JE, Hatef DA, Ducic I, et al. The anatomy of the greater occipital nerve: Part II. Compression point topography. Plast Reconstr Surg. 2010;126(5):1563–72.CrossRefGoogle Scholar
  4. 4.
    Janis JE, Hatef DA, Reece EM, McCluskey PD, Schaub TA, Guyuron B. Neurovascular compression of the greater occipital nerve: implications for migraine headaches. Plast Reconstr Surg. 2010;126(6):1996–2001.CrossRefGoogle Scholar
  5. 5.
    Raposio E, Simonacci F, Bertozzi N, Abstract BE. Occipital migraine: a vascular approach. Plast Reconstr Surg Glob Open. 2017;5(9 Suppl):78.CrossRefGoogle Scholar
  6. 6.
    Chung MH, Lu K, Amirlak B. The greater occipital nerve: identification of dynamic compression points in migraine, and the radical excision of the occipital artery using an extended endoscopic assisted approach. Texas Society of Plastic Surgeons Annual Meeting 2018 September 14, 2018 2018; San Antonio.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Bardia Amirlak
    • 1
    Email author
  • Michael Chung
    • 1
  • Mikaela L. Kislevitz
    • 1
  1. 1.The University of Texas Southwestern Medical CenterDallasUSA

Personalised recommendations