From the Department of Neurology, Michigan Head Pain and Neurological Institute, MI, USA.
Cessation of Hemiplegic Migraine Auras With Greater Occipital Nerve Blockade
Article first published online: 18 JUL 2008
Headache: The Journal of Head and Face Pain
Volume 47, Issue 6, pages 917–919, June 2007
How to Cite
Rozen, T. (2007), Cessation of Hemiplegic Migraine Auras With Greater Occipital Nerve Blockade. Headache: The Journal of Head and Face Pain, 47: 917–919. doi: 10.1111/j.1526-4610.2007.00828.x
- Issue published online: 13 NOV 2008
- Article first published online: 18 JUL 2008
- Accepted for publication February 1, 2007.
- hemiplegic migraine;
- prolonged aura;
- greater occipital nerve blockade;
- cortical spreading depression
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.