Vestibüler Migren Tedavisinde Büyük Oksipital Sinir Blokajı: Yanlış Tanıdan Etkili Tedaviye

Year 2025, Volume: 15 Issue: 4, 518 - 521, 15.12.2025

Sadettin Ersoy , Sule Aydın Türkoğlu

https://doi.org/10.16919/bozoktip.1614769

Abstract

Vestibüler migren (VM), genellikle periferik vertigo olarak yanlış teşhis edilen, epizodik vertigo ve migren semptomları ile karakterize, engelliliğe neden olan bir hastalıktır. Bu olgu sunumunda, dirençli VM'si olan 25 yaşındaki bir kadın hastanın, büyük oksipital sinir (GON) blokajı ile başarılı bir şekilde tedavi edilmesi anlatılmaktadır. GON blokajı, hem baş ağrısı hem de vestibüler semptomlarda hızlı ve belirgin bir rahatlama sağlamış olup, maliyet etkin ve az kullanılan bir müdahale olarak potansiyelini vurgulamaktadır. Bu olgu, dirençli VM yönetiminde doğru tanının ve multimodal tedavi yaklaşımlarının önemini vurgulamaktadır.

Keywords

büyük oksipital sinir blokajı , vertigo , vestibüler migren

Greater Occipital Nerve Block in the Management of Vestibular Migraine: A Case of Misdiagnosis and Recovery

Abstract

Vestibular migraine (VM) is a challenging condition characterized by episodic vertigo and migraine symptoms, often misdiagnosed as peripheral vertigo. This case report describes a 25-year-old female with refractory VM successfully treated with greater occipital nerve (GON) block. The GON block provided rapid and significant relief of both headache and vestibular symptoms, underscoring its potential as a cost-effective and underutilized intervention. This case emphasizes the importance of accurate diagnosis and multimodal treatment approaches in the management of refractory VM.

Keywords

greater occipital nerve block , vertigo , vestibular migraine

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