Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2026
Our surgical experience in Arnold's neuralgia: Technical insights and clinical results.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Nikmaram Nikou, Mostofi Keyvan
Аннотация
BACKGROUND: Arnold's neuralgia, also referred to as greater occipital neuralgia, is a chronic neuropathic pain condition characterized by paroxysmal or continuous occipital pain. While most patients respond to conservative treatment, a subset develops medically refractory symptoms requiring surgical intervention.
OBJECTIVE: To present our institutional experience with isolated surgical decompression of the greater occipital nerve, focusing on technical aspects, clinical outcomes, and patient satisfaction.
METHODS: A retrospective review was conducted of 29 consecutive patients who underwent surgical decompression of the greater occipital nerve between September 2015 and December 2024. All patients fulfilled the ICHD-3 diagnostic criteria and had failed multimodal conservative treatment. Pain intensity was evaluated using the visual analog scale (VAS) preoperatively and at 1, 3, and 6 months postoperatively.
RESULTS: Mean VAS decreased from 6.59 preoperatively to 3.24 at 6 months, representing a 50.8% reduction in pain intensity (p < 0.001). Eighteen patients (62%) achieved a ≥ 50% reduction in pain, while 90% experienced some degree of postoperative improvement. Postoperative complications were infrequent and predominantly mild, with no infections or major neurological deficits observed.
CONCLUSION: Isolated decompression of the greater occipital nerve is a safe and effective surgical option for carefully selected patients with refractory Arnold's neuralgia.
OBJECTIVE: To present our institutional experience with isolated surgical decompression of the greater occipital nerve, focusing on technical aspects, clinical outcomes, and patient satisfaction.
METHODS: A retrospective review was conducted of 29 consecutive patients who underwent surgical decompression of the greater occipital nerve between September 2015 and December 2024. All patients fulfilled the ICHD-3 diagnostic criteria and had failed multimodal conservative treatment. Pain intensity was evaluated using the visual analog scale (VAS) preoperatively and at 1, 3, and 6 months postoperatively.
RESULTS: Mean VAS decreased from 6.59 preoperatively to 3.24 at 6 months, representing a 50.8% reduction in pain intensity (p < 0.001). Eighteen patients (62%) achieved a ≥ 50% reduction in pain, while 90% experienced some degree of postoperative improvement. Postoperative complications were infrequent and predominantly mild, with no infections or major neurological deficits observed.
CONCLUSION: Isolated decompression of the greater occipital nerve is a safe and effective surgical option for carefully selected patients with refractory Arnold's neuralgia.