[Multimodal pain management in a patient with atypical cervicogenic headache]. / Patient mit einer atypischen Form zervikogener Kopfschmerzen.
Med Monatsschr Pharm
; 38(11): 448-50, 2015 Nov.
Article
em De
| MEDLINE
| ID: mdl-26742212
ABSTRACT
A 45-year-old patient presented with an eight-year history of persistent unilateral headache associated with recurrent episodes of ipsilateral conjunctival injections, eyelid edema and ptosis. Prior ineffective pharmacological treatment strategies included tramadol, non-steroidal anti-inflammatory drugs and triptans. Palpation of right suboccipital trigger points revealed tenderness in the area of the greater occipital nerve and reinforced the symptoms. The diagnosis of cervicogenic headache was confirmed by symptom resolution following right greater occipital nerve blockade. A multimodal treatment strategy (physical therapy, nerve blockade, pharmacological treatment) was chosen and an emphasis was put on optimizing pharmacological pain relief using the opioid analgesic tapentadol and the tricyclic antidepressant amitriptyline as an adjuvant analgesic. Importantly, the patient reported a substantial and consistent pain reduction and considerable quality of life improvement during implementation of the treatment regimen.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Manejo da Dor
/
Cefaleia
Tipo de estudo:
Diagnostic_studies
Limite:
Adult
/
Humans
/
Male
Idioma:
De
Revista:
Med Monatsschr Pharm
Ano de publicação:
2015
Tipo de documento:
Article