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Ultrasound-Guided Atlanto-Axial and Atlanto-Occipital Joint Injections

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Atlas of Ultrasound-Guided Procedures in Interventional Pain Management
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Abstract

The atlanto-axial joint accounts for up to 16% of patients with occipital headache. In human volunteers, distending the lateral atlanto-axial joint with contrast agent produces occipital pain, and injection of local anesthetic into the joint relieves the headache [1, 2].

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References

  1. Aprill C, Axinn MJ, Bogduk N. Occipital headaches stemming from the lateral atlanto-axial (C1-2) joint. Cephalalgia. 2002;22(1):15–22.

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  2. Busch E, Wilson PR. Atlanto-occipital and atlanto-axial injections in the treatment of headache and neck pain. Reg Anesth. 1989;14(Suppl 2):45.

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  3. Narouze SN, Casanova J, Mekhail N. The longitudinal effectiveness of lateral atlanto-axial intraarticular steroid injection in the management of cervicogenic headache. Pain Med. 2007;8:184–8.

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  4. Narouze S. Complications of head and neck procedures. Tech Reg Anesth Pain Manag. 2007;11:171–7.

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  5. Narouze S. Ultrasonography in pain medicine: future directions. Tech Reg Anesth Pain Manag. 2009;13:198–202.

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  6. Narouze S. Ultrasound-guided lateral atlanto-axial joint injection for the treatment of cervicogenic headache (abstract). Pain Med. 2009;10:222.

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Narouze, S.N. (2018). Ultrasound-Guided Atlanto-Axial and Atlanto-Occipital Joint Injections. In: Narouze, S. (eds) Atlas of Ultrasound-Guided Procedures in Interventional Pain Management. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-7754-3_32

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  • DOI: https://doi.org/10.1007/978-1-4939-7754-3_32

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-7752-9

  • Online ISBN: 978-1-4939-7754-3

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