Ultrasound- Guided Hydro Dissection in the Management of Occipital Neuralgia | ||
| Ain Shams Medical Journal | ||
| Volume 76, Issue 2, June 2025, Pages 489-494 PDF (312.63 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/asmj.2025.351376.1367 | ||
| Authors | ||
| Mohamed Abbas* 1; Ahmed Zaghlol2; Ayman Ismail3; Hamdy Nabwi4; Mohamed Ismail5; Ahmed Nada6; Mona Mokhtar7; Ahmed Elakhras8 | ||
| 1Lecturer, Department of Neurosurgery, Faculty of Medicine, Kafr El-Sheikh University, Kafr El-Sheikh, Egypt. | ||
| 2Anesthesiology, Surgical Intensive Care and Pain Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt. | ||
| 3Neurosurgery, Faculty of Medicine, Kafr El-Sheikh University, Kafr El-Sheikh, Egypt. | ||
| 4Department of Neurosurgery Department, Faculty of Medicine, MUST University, Cairo, Egypt. | ||
| 5Neurosurgery, Faculty of Medicine, Cairo University, Cairo, Egypt. | ||
| 6Neurosurgery, Faculty of Medicine, Port Said University, Port Said, Egypt. | ||
| 7Rheumatology and Rehabilitation, Faculty of Medicine, Al-Azhar University, Cairo, Egypt. | ||
| 8Neurosurgery Department, Faculty of Medicine, Kafr El-Sheikh University, Kafr El-Sheikh, Egypt. | ||
| Abstract | ||
| Background: Conventional treatments for occipital neuralgia (ON) sometimes only provide short-term or partial relief, even though the condition is highly disabling. A new minimally invasive technique that shows promise is hydro dissection of the greater occipital nerve guided by ultrasonography—the work aimed to assess the efficacy of ultrasound-guided hydro dissection in the management of ON. Methods: This single-arm interventional study was conducted on 50 patients aged 18 to 70 years old, both sexes, who had ON, scheduled for US-guided hydro dissection. The visual analog scale (VAS) was used to measure pain, the modified Rankin scale(mRS) was used to measure outcomes, and patient satisfaction was evaluated. Results: Visual Analogue Scale (VAS) and Modified Rankin scale measurements were significantly lower immediately post- intervention, 1w and 1m than pre-intervention (P<0.001). Patient satisfaction score was significantly higher immediately post-intervention, 1w and 1m than pre-intervention (P<0.001). The percentage of improvement was significantly higher at 1w and 1m than at immediate post-intervention (P<0.001). Conclusions: Ultrasound-guided hydro dissection presents considerable promise for individuals suffering from ON, demonstrating decreased pain levels, improved functional outcomes as measured by the Modified Rankin Scale, and increased patient satisfaction. | ||
| Keywords | ||
| Hydro dissection; modified rankin scale; occipital neuralgia; pain; satisfaction; ultrasound-guided | ||
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