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Occipital nerve block is a procedure involving injection of steroids or anesthetics into regions of the greater occipital nerve and the lesser occipital nerve used to treat chronic headaches. These nerves are located in the back of the head near in the suboccipital triangle along the line between the inion and the mastoid process .
The electricity is delivered to the greater occipital nerve and lesser occipital nerve by small metal electrodes which are arranged on thin leads and implanted just under the skin. [2] The intensity of the electrical impulses can be adjusted using a small remote control device.
The greater occipital nerve is a nerve of the head. It is a spinal nerve , specifically the medial branch of the dorsal primary ramus of cervical spinal nerve 2 . It arises from between the first and second cervical vertebrae , ascends, and then passes through the semispinalis muscle .
Nerve block or regional nerve blockade is any deliberate interruption of signals traveling along a nerve, often for the purpose of pain relief. Local anesthetic nerve block (sometimes referred to as simply "nerve block") is a short-term block, usually lasting hours or days, involving the injection of an anesthetic, a corticosteroid, and other agents onto or near a nerve.
The medial branch (ramus medialis; internal branch), called from its size and distribution the greater occipital nerve, ascends obliquely between the Obliquus capitis inferior and the Semispinalis capitis, and pierces the latter muscle and the Trapezius near their attachments to the occipital bone. It is then joined by a filament from the ...
The lesser occipital nerve (or small occipital nerve [1]) is a cutaneous spinal nerve of the cervical plexus. [2] It arises from second cervical (spinal) nerve (C2) (along with the greater occipital nerve). It innervates the skin of the back of the upper neck and of the scalp posterior to the ear.
There is anastomosis with accessory nerve, hypoglossal nerve and sympathetic trunk. It is located in the neck, deep to the sternocleidomastoid muscle. [5] The branches of the cervical plexus emerge from the posterior triangle at the nerve point, a point which lies midway on the posterior border of the sternocleidomastoid.
The suboccipital nerve (first cervical dorsal ramus) is the dorsal primary ramus of the first cervical nerve (C1). It exits the spinal cord between the skull and the first cervical vertebra, the atlas. [1] It lies within the suboccipital triangle along with the vertebral artery, where the artery enters the foramen magnum.