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Neck Surgery

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Abstract

Migraine surgery of the neck is about the release of three occipital nerves. The irritation, traction, and compression of these greater, lesser, and least occipital nerves in migraine patients can not only cause neck pain and stiffness; it can also be the primary source of referred pain to the forehead by means of the trigeminocervical relay.

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References

  1. Becser N, Bovim G, Sjaastad O. Extracranial nerves in the posterior part of the head. Anatomic variations and their possible significance. Spine. 1998;23:1435–41.

    Article  CAS  PubMed  Google Scholar 

  2. Bogduk N. The anatomy of occipital neuralgia. Clin Exp Neurol. 1980;17:167–84.

    Google Scholar 

  3. Ducic I, Moriarty M, Al-Attar A. Anatomical variations of the occipital nerves: implications for the treatment of chronic headaches. Plast Reconstr Surg. 2009;124:1727–8.

    Article  CAS  Google Scholar 

  4. Junewicz A, Katira K, Guyuron B. Intraoperative anatomical variations during greater occipital nerve decompression. J Plast Reconstr Aesthet Surg. 2013;66:1340–5.

    Article  PubMed  Google Scholar 

  5. Tubbs RS, Salter EG, Wellons JC, Blount JP, Oakes WJ. Landmarks for the identification of the cutaneous nerves of the occiput and nuchal regions. Clin Anat. 2007;20:235–8.

    Article  PubMed  Google Scholar 

  6. Martin BC, Fagan PJ. The surgical therapy of certain occipital headaches. Plast Reconstr Surg. 1964;33:266–8.

    Article  CAS  PubMed  Google Scholar 

  7. Megela J, Krivánek J. Surgical treatment of cervical migraine (Article in Czech). Sb Lek. 1979;81:137–9.

    PubMed  CAS  Google Scholar 

  8. Hadden SB. Neuralgic headache and facial pain. Arch Neurol Psychiatr. 1940;43:405–9.

    Google Scholar 

  9. Knox DL, Mustonen E. Greater occipital neuralgia. Trans Am Acad Ophthalmol Otolaryngol. 1975;70:513–9.

    Google Scholar 

  10. Schultz DR. Occipital neuralgia. J Am Osteopath Assoc. 1977;76:335–43.

    PubMed  CAS  Google Scholar 

  11. 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;113:693–7.

    Article  PubMed  Google Scholar 

  12. Janis JE, Hatef DA, Ducic I, et al. The anatomy of the greater occipital nerve: Part II. Compression point topography. Plast Reconstr Surg. 2010;126:1563–72.

    Article  CAS  PubMed  Google Scholar 

  13. Ducic I, Hartmann EC, Larson EE. Indications and outcomes for surgical treatments of patients with chronic migraine headaches caused by occipital neuralgia. Plast Reconstr Surg. 2009;123:859–63.

    Article  CAS  PubMed  Google Scholar 

  14. Bovim G, Bonamico L, Fredriksen TA, Lindboe CF, Stolt-Nielsen A, Sjaastad O. Topographic variations in the peripheral course of the greater occipital nerve. Autopsy study with clinical correlations. Spine (Phila Pa 1976). 1991;16:475–8.

    Article  CAS  Google Scholar 

  15. Bogduk N. The clinical anatomy of the cervical dorsal rami. Spine. 1982;7:319–30.

    Article  CAS  PubMed  Google Scholar 

  16. Shimizu S, Oka H, Osawa S, et al. Can proximity of the occipital artery to the greater occipital nerve act as a cause of idiopathic greater occipital neuralgia? An anatomical and histological evaluation of the artery-nerve relationship. Plast Reconstr Surg. 2007;119:2029–2034; discussion 2035.

    Article  CAS  PubMed  Google Scholar 

  17. Ducic I, Felder JM III, Janis JE. Occipital artery vasculitis not identified as a mechanism of occipital neuralgia-related chronic migraine headaches. Plast Reconstr Surg. 2011;128:908–12.

    Article  CAS  PubMed  Google Scholar 

  18. 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;126:1996–2001.

    Article  CAS  PubMed  Google Scholar 

  19. Chmielewski L, Liu MT, Guyuron B. The role of occipital artery resection in the surgical treatment of occipital migraine headaches. Plast Reconstr Surg. 2013;131:351e–6e.

    Article  CAS  PubMed  Google Scholar 

  20. Lineberry K, Lee M, Monson A, Guyuron B. Intraoperative corticosteroid injections in migraine surgery: efficacy in preventing refractory symptoms. Plast Reconstr Surg. 2015;135:393e.

    Article  CAS  PubMed  Google Scholar 

  21. Pantaloni M, Sullivan P. Relevance of the lesser occipital nerve in facial rejuvenation surgery. Plast Reconstr Surg. 2000;105:2594–9.

    Article  CAS  PubMed  Google Scholar 

  22. Lee M, Brown M, Chepla K, et al. An anatomical study of the lesser occipital nerve and its potential compression points: implications for surgical treatment of migraine headaches. Plast Reconstr Surg. 2013;132:1551–6.

    PubMed  CAS  Google Scholar 

  23. Madhavi C, Holla SJ. Triplication of the lesser occipital nerves. Clin Anat. 2004;17:667–71.

    Article  CAS  PubMed  Google Scholar 

  24. Lucas GA, Laudanna A, Chopard RP, Raffaelli E. Anatomy of the lesser occipital nerve in relation to cervicogenic headache. Clin Anat. 1994;7:90–6.

    Article  Google Scholar 

  25. Dash KS, Janis JE, Guyuron B. The lesser and third occipital nerves and migraine headaches. Plast Reconstr Surg. 2005;115:1752–1758; discussion 1759.

    Article  CAS  PubMed  Google Scholar 

  26. Peled ZM, Pietramaggiori G, Scherer S. Anatomic and compression topography of the lesser occipital nerve. Plast Reconstr Surg Glob Open. 2016;4:e639.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Seo BF, Jung SN, Sohn WI, Kwon H. Lymph node compression of the lesser occipital nerve: a cause of migraine. J Plast Reconstr Aesthet Surg. 2011;64:1657–60.

    Article  PubMed  Google Scholar 

  28. Sand T, Becser N. Neurophysiological and anatomical variability of greater auricular nerve. Acta Neurol Scand. 1998;98:333–9.

    Article  CAS  PubMed  Google Scholar 

  29. Liu D, Hu Y. The central projections of the great auricular nerve primary afferent fibers - an HRP transganglionic tracing method. Brain Res. 1988;445:205–10.

    Article  CAS  PubMed  Google Scholar 

  30. Tubbs RS, Mortazavi MM, Loukas M, et al. Anatomical study of the third occipital nerve and its potential role in occipital headache/neck pain following midline dissections of the craniocervical junction. J Neurosurg Spine. 2011;15:71–5.

    Article  PubMed  Google Scholar 

  31. Standring S. Neck. In: Standring S, editor. Gray’s anatomy. The anatomical basis of clinical practice. 40th ed. Philadelphia: Churchill Livingstone/Elsevier; 2008. p. 435–66.

    Google Scholar 

  32. Bogduk N, Marsland A. On the concept of third occipital headache. J Neurol Neurosurg Psychiatry. 1986;49:775–80.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  33. Lord SM, Barnsley L, Wallis BJ, Bogduk N. Third occipital nerve headache: a prevalence study. J Neurol Neurosurg Psychiatry. 1994;57:1187–90.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Muehlberger, T. (2018). Neck Surgery. In: Migraine Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-78117-4_13

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  • DOI: https://doi.org/10.1007/978-3-319-78117-4_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-78116-7

  • Online ISBN: 978-3-319-78117-4

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