Cessation of hemiplegic migraine auras with greater occipital nerve blockade

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21 Scopus citations

Abstract

Prolonged migraine auras can be disabling and potentially can cause permanent neurologic deficits. Several medicinal agents have shown some efficacy in aborting prolonged auras, but results are inconsistent. Greater occipital nerve blockade can alleviate the pain of migraine and in 1 case report the migraine aura. Hemiplegic migraine attacks are marked by motor weakness that can last for minutes to days. Two case patients with a history of hemiplegic migraine with prolonged auras are presented, who both had complete alleviation of their aura symptoms with GON blockade. A hypothesis on how GON blockade may inhibit cortical spreading depression is also presented.

Original languageEnglish (US)
Pages (from-to)917-919
Number of pages3
JournalHeadache
Volume47
Issue number6
DOIs
StatePublished - Jun 1 2007

Keywords

  • Cortical spreading depression
  • Greater occipital nerve blockade
  • Hemiplegic migraine
  • Prolonged aura

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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