{"title":"Subarachnoid Hemorrhage Following Cervical Medial Branch Radiofrequency Ablation: A Case Report.","authors":"Joel Peltonen, Timothy Bolton","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Facet-mediated neck pain following motor vehicle collision is a common component of whiplash-associated disorder. Facet-mediated neck pain is suspected based on a combination of history, physical examination, and imaging findings. Third occipital nerve (TON) and cervical medial branch radiofrequency ablation (RFA) are effective and safe approaches to facet-mediated pain. Serious complications are rare but can include nerve root, spinal cord, and vascular injury.</p><p><strong>Case report: </strong>This report describes a case of subarachnoid hemorrhage (SAH) that occurred within 24 hours following TON and cervical medial branch RFA. The patient was admitted for symptom management, blood pressure control, and follow-up imaging. His hemorrhage stabilized, and he returned home without residual deficits after 12 days.</p><p><strong>Conclusions: </strong>This case serves as an example of how prolonged nausea, headache, and ataxia can be indicators of SAH, following TON and cervical medial branch RFA.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"9 1","pages":"47-50"},"PeriodicalIF":0.0000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pain medicine case reports","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Facet-mediated neck pain following motor vehicle collision is a common component of whiplash-associated disorder. Facet-mediated neck pain is suspected based on a combination of history, physical examination, and imaging findings. Third occipital nerve (TON) and cervical medial branch radiofrequency ablation (RFA) are effective and safe approaches to facet-mediated pain. Serious complications are rare but can include nerve root, spinal cord, and vascular injury.
Case report: This report describes a case of subarachnoid hemorrhage (SAH) that occurred within 24 hours following TON and cervical medial branch RFA. The patient was admitted for symptom management, blood pressure control, and follow-up imaging. His hemorrhage stabilized, and he returned home without residual deficits after 12 days.
Conclusions: This case serves as an example of how prolonged nausea, headache, and ataxia can be indicators of SAH, following TON and cervical medial branch RFA.
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