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Occipital Nerve Blocks

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Abstract

The greater and lesser occipital nerves originate from the dorsal ramus of second cervical spinal nerve (C2) and innervate the posterior portions of the scalp. Occipital nerve blocks are useful for any surgery involving the scalp and are also useful for diagnosing and treating certain headaches. Anesthesia of these nerves is useful in children; however, the nerves are small and often difficult to visualize under ultrasound. Techniques for occipital nerve block are discussed in this chapter.

Keywords

  • Greater occipital nerve block
  • Lesser occipital nerve block, scalp block

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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 clinical significance. Spine. 1998;23:1435–41.

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  2. Greher M, Moriggl B, Curatolo M, et al. Sonographic visualization and ultrasound-guided blockade of the greater occipital nerve: a comparison of two selective techniques confirmed by anatomical dissection. Br J Anaesth. 2010;104:637–42.

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Suggested Reading

  • Belvis D, Voronov P, Suresh S. Head and neck blocks in children. Tech Reg Anesth Pain Manag. 2007;11(4):208–14.

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  • Suresh S, Polaner DM, Cote CJ. Regional Anesthesia. In: Cote CJ, Lerman J, Anderson BJ, Eds. 5th ed. Philadelphia: WB Saunders; 2013. p. 835–79.

    Google Scholar 

  • Suresh S, Voronov P. Head and neck blocks in infants, children, adolescents. Pediatr Anesth. 2012;22(1):81–7.

    CrossRef  Google Scholar 

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Correspondence to Ban C. H. Tsui Dip Eng,BSc,B Pharm,MSc,MD,FRCPC .

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Tsui, B.C.H. (2016). Occipital Nerve Blocks. In: Tsui, B., Suresh, S. (eds) Pediatric Atlas of Ultrasound- and Nerve Stimulation-Guided Regional Anesthesia. Springer, New York, NY. https://doi.org/10.1007/978-0-387-79964-3_17

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  • DOI: https://doi.org/10.1007/978-0-387-79964-3_17

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-79963-6

  • Online ISBN: 978-0-387-79964-3

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