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- W2364569662 abstract "Objective: To investigate the anatomic basis of the greater occipital neuralgia and discuss its clinical significance. Methods: The distrbution of the greater occipital nerves were observed on 30 halves of the fifteen candaver head specimens (ten antiseptic cadaver specimens and five fresh cadaver specimens). landmarks used as follows, for making drawings and topographic measurements of the dissected nerves: the transverse line between the central of the bony external acoustic meatus and the posterior midline. Results: The greater occipital nerve passed through trapezius muscle or semispinal muscle of head, the inclination between the nerve and the posterior midline was 55～70 degrees. A strong, fibrotic occipital aponeurosis presented at the point where the great occipital nerve emerged from the nuchal muscles to the subcutis of the scalp, the nerve interwove with the filaments of this tissue. The course of the nerve could be divided into two parts at its exit point to the subcuits: inactive part, which ran and anchored to the subcuits of the scalp, and active part, which laid in the nuchal muscles, where there seemed to be an ample space for cutting through of the nerves. Conclusions: The anatomic basis of the greater occipital neuralgia rely on the below: during the movement of the neck, the boundary between the active part and inactive part of the greater occipital nerve is in the condition of twisting. The fibrotic occipital aponeurosis or the filaments also raise the pressure and the possibility of irritation to the nerve. The position where infection and operation could be applied safely is 3～4 cm lower to the exiting point and 1.5cm lateral to the posterior midline." @default.
- W2364569662 created "2016-06-24" @default.
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- W2364569662 date "2003-01-01" @default.
- W2364569662 modified "2023-09-25" @default.
- W2364569662 title "Applied anatomy of the greater occipital nerve and its clinical significance" @default.
- W2364569662 hasPublicationYear "2003" @default.
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