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Greater Occipital Nerve
The greater occipital nerve is a nerve of the head. It is a spinal nerve, specifically the medial branch of the dorsal primary ramus of cervical spinal nerve 2. It arises from between the first and second cervical vertebrae, ascends, and then passes through the semispinalis muscle. It ascends further to supply the skin along the posterior part of the scalp to the vertex. It supplies sensation to the scalp at the top of the head, over the ear and over the parotid glands. Structure The greater occipital nerve is the medial branch of the dorsal primary ramus of cervical spinal nerve 2. It may also involve fibres from cervical spinal nerve 3. It arises from between the first and second cervical vertebrae, along with the lesser occipital nerve. It ascends after emerging from below the suboccipital triangle beneath the obliquus capitis inferior muscle. Just below the superior nuchal ridge, it pierces the fascia. It ascends further to supply the skin along the posterior part of ...
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Semispinalis Capitis
The semispinalis muscles are a group of three muscles belonging to the transversospinales. These are the semispinalis capitis, the semispinalis cervicis and the semispinalis thoracis. Location The semispinalis capitis (''complexus'') is situated at the upper and back part of the neck, deep to the splenius muscles, and medial to the longissimus cervicis and longissimus capitis. It arises by a series of tendons from the tips of the transverse processes of the upper six or seven thoracic and the seventh cervical vertebrae, and from the articular processes of the three cervical vertebrae above this ( C4-C6). The tendons, uniting, form a broad muscle, which passes upward, and is inserted between the superior and inferior nuchal lines of the occipital bone. It lies deep to the trapezius muscle and can be palpated as a firm round muscle mass just lateral to the cervical spinous processes. The semispinalis cervicis (or ''semispinalis colli''), arises by a series of tendinous and ...
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Lesser Occipital Nerve
The lesser occipital nerve (or small occipital nerve) is a cutaneous spinal nerve of the cervical plexus. It arises from second cervical (spinal) nerve (C2) (along with the greater occipital nerve). It innervates the skin of the back of the upper neck and of the scalp posterior to the ear. Structure Origin It arises from the (lateral branch of the ventral ramus) of cervical spinal nerve C2; it (sources differ) receives or may also receive fibres from cervical spinal nerve C3. It originates between the atlas, and axis. The lesser occipital nerve is one of the four cutaneous branches of the cervical plexus. Course and relations It curves around the accessory nerve (CN XI) to come to course anterior to it. It then curves around and ascends along the posterior border of the sternocleidomastoid muscle; rarely, it may pierce the muscle. Near the cranium, it perforates the deep cervical fascia. It is continued upwards along the scalp posterior to the auricle. It divides in ...
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Elsevier
Elsevier ( ) is a Dutch academic publishing company specializing in scientific, technical, and medical content. Its products include journals such as ''The Lancet'', ''Cell (journal), Cell'', the ScienceDirect collection of electronic journals, ''Trends (journals), Trends'', the ''Current Opinion (Elsevier), Current Opinion'' series, the online citation database Scopus, the SciVal tool for measuring research performance, the ClinicalKey search engine for clinicians, and the ClinicalPath evidence-based cancer care service. Elsevier's products and services include digital tools for Data management platform, data management, instruction, research analytics, and assessment. Elsevier is part of the RELX Group, known until 2015 as Reed Elsevier, a publicly traded company. According to RELX reports, in 2022 Elsevier published more than 600,000 articles annually in over 2,800 journals. As of 2018, its archives contained over 17 million documents and 40,000 Ebook, e-books, with over one b ...
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Tension Headache
Tension headache, stress headache, or tension-type headache (TTH), is the most common type of primary headache. The pain usually radiates from the lower back of the head, the neck, the eyes, or other muscle groups in the body typically affecting both sides of the head. Tension-type headaches account for nearly 90% of all headaches. Pain medications, such as paracetamol and ibuprofen, are effective for the treatment of tension headache. Tricyclic antidepressants appear to be useful for prevention. Evidence is poor for SSRIs, propranolol and muscle relaxants. The 2016 Global Burden of Disease study revealed that TTHs affect about 1.89 billion people and are more common in women than men (30.8% to 21.4% respectively). TTH was most prevalent between ages 35 and 39. Despite its benign character, tension-type headache, especially in its chronic form, can impart significant disability on patients as well as burden on society at large. In 2016, the global burden of TTH was reported to ...
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Nerve Block
Nerve block or regional nerve blockade is any deliberate interruption of signals traveling along a nerve, often for the purpose of pain relief. #Local anesthetic nerve block, Local anesthetic nerve block (sometimes referred to as simply "nerve block") is a short-term block, usually lasting hours or days, involving the injection of an anesthetic, a corticosteroid, and other agents onto or near a nerve. Neurolytic block, the deliberate temporary degeneration of nerve fibers through the application of chemicals, heat, or freezing, produces a block that may persist for weeks, months, or indefinitely. Neurectomy, the cutting through or removal of a nerve or a section of a nerve, usually produces a permanent block. Because neurectomy of a sensory nerve is often followed, months later, by the emergence of new, more intense pain, sensory nerve neurectomy is rarely performed. The concept of nerve block sometimes includes ''central nerve block'', which includes epidural and spinal anaesthe ...
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Occipital Neuralgia
Occipital neuralgia (ON) is a painful condition affecting the posterior head in the distributions of the greater occipital nerve (GON), lesser occipital nerve (LON), third occipital nerve (TON), or a combination of the three. It is paroxysmal, lasting from seconds to minutes, and often consists of lancinating pain that directly results from the pathology of one of these nerves. It is paramount that physicians understand the differential diagnosis for this condition and specific diagnostic criteria. There are multiple treatment modalities, several of which have well-established efficacy in treating this condition. Text was copied from this source, which is available under Creative Commons Attribution 4.0 International License Signs and symptoms Patients presenting with a headache originating at the posterior skull base should be evaluated for ON. This condition typically presents as a paroxysmal, lancinating or stabbing pain lasting from seconds to minutes, and therefore a continu ...
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Cervicogenic Headache
Cervicogenic headache is a type of headache characterized by chronic hemicranial pain referred to the head from either the cervical spine or soft tissues within the neck. The main symptoms of cervicogenic headaches include pain originating in the neck that can travel to the head or face, headaches that get worse with neck movement, and limited ability to move the neck. Diagnostic imaging can display lesions of the cervical spine or soft tissue of the neck that can be indicative of a cervicogenic headache. When being evaluated for cervicogenic headaches, it is important to rule out a history of migraines Migraine (, ) is a complex neurological disorder characterized by episodes of moderate-to-severe headache, most often unilateral and generally associated with nausea, and light and sound sensitivity. Other characterizing symptoms may includ ... and traumatic brain injuries. Studies show that combining interventions such as moist heat applied to the area of pain, spinal an ...
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Saunders (imprint)
Saunders is an American academic publisher based in the United States. It is currently an imprint of Elsevier. Formerly independent, the W. B. Saunders company was acquired by CBS in 1968, who added it to their publishing division Holt, Rinehart & Winston. When CBS left the publishing field in 1986, it sold the academic publishing units to Harcourt Brace Jovanovich. Harcourt was acquired by Reed Elsevier in 2001."Reed Elsevier Timeline"
. Northern Illinois University Libraries. Retrieved May 2, 2015. W. B. Saunders published the

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Fascia
A fascia (; : fasciae or fascias; adjective fascial; ) is a generic term for macroscopic membranous bodily structures. Fasciae are classified as superficial, visceral or deep, and further designated according to their anatomical location. The knowledge of fascial structures is essential in surgery, as they create borders for infectious processes (for example Psoas abscess) and haematoma. An increase in pressure may result in a compartment syndrome, where a prompt fasciotomy may be necessary. For this reason, profound descriptions of fascial structures are available in anatomical literature from the 19th century. Function Fasciae were traditionally thought of as passive structures that transmit mechanical tension generated by muscular activities or external forces throughout the body. An important function of muscle fasciae is to reduce friction of muscular force. In doing so, fasciae provide a supportive and movable wrapping for nerves and blood vessels as they pass thro ...
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Obliquus Capitis Inferior Muscle
The obliquus capitis inferior muscle () is a muscle in the upper back of the neck. It is one of the suboccipital muscles. Its inferior attachment is at the spinous process of the axis; its superior attachment is at the transverse process of the atlas. It is innervated by the suboccipital nerve (the posterior ramus of first cervical spinal nerve). The muscle rotates the head to its side. Despite what its name suggest, it is the only capitis (Latin: "head") muscle that does not actually attach to the skull. Anatomy The obliquus capitis inferior is one of the suboccipital muscles (and the only one of these to have no attachment to the skull). It is larger than the obliquus capitis superior muscle. It forms the inferolateral boundary of the suboccipital triangle. The muscle extends laterally and somewhat superiorly from its inferior attachment to its superior attachment. Attachments its inferior attachment is at the lateral external aspect of the bifid spinous process o ...
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Suboccipital Triangle
The suboccipital triangle is a region of the neck bounded by the following three muscles of the suboccipital group of muscles: * Rectus capitis posterior major - above and medially * Obliquus capitis superior - above and laterally * Obliquus capitis inferior - below and laterally (Rectus capitis posterior minor is also in this region but does not form part of the triangle) It is covered by a layer of dense fibro-fatty tissue, situated beneath the semispinalis capitis. The floor is formed by the posterior atlantooccipital membrane, and the posterior arch of the atlas. In the deep groove on the upper surface of the posterior arch of the atlas are the vertebral artery and the first cervical or suboccipital nerve. In the past, the vertebral artery was accessed here in order to conduct angiography of the circle of Willis. Presently, formal angiography of the circle of Willis is performed via catheter angiography, with access usually being acquired at the common femoral artery. Alte ...
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Cervical Spinal Nerve 3
The cervical spinal nerve 3 (C3) is a spinal nerve of the cervical segment The spinal cord is a long, thin, tubular structure made up of nervous tissue that extends from the medulla oblongata in the lower brainstem to the lumbar region of the vertebral column (backbone) of vertebrate animals. The center of the spinal c ....American Medical Association
Nervous System -- Groups of Nerves It originates from the spinal column from above the cervical vertebra 3 (C3).


References

Spinal nerves {{neuroanatomy-stub ...
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