{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T00:16:22Z","timestamp":1784938582870,"version":"3.55.0"},"reference-count":8,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2014,6,10]],"date-time":"2014-06-10T00:00:00Z","timestamp":1402358400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Headache"],"published-print":{"date-parts":[[2014,11]]},"abstract":"<jats:p>Occipital nerve blocks are commonly performed to treat a variety of headache syndromes and are generally believed to be safe and well tolerated. We report the case of an otherwise healthy 24\u2010year\u2010old woman with left side\u2010locked occipital, parietal, and temporal pain who was diagnosed with probable occipital neuralgia. She developed complete left facial nerve palsy within minutes of blockade of the left greater and lesser occipital nerves with a solution of bupivicaine and triamcinolone. Magnetic resonance imaging of the brain with gadolinium contrast showed no abnormalities, and symptoms had completely resolved 4\u20105 hours later. Unintended spread of the anesthetic solution along tissue planes seems the most likely explanation for this adverse event. An aberrant course of the facial nerve or connections between the facial and occipital nerves also might have played a role, along with the patient's prone position and the use of a relatively large injection volume of a potent anesthetic. Clinicians should be aware that temporary facial nerve palsy is a possible complication of occipital nerve block.<\/jats:p>","DOI":"10.1111\/head.12403","type":"journal-article","created":{"date-parts":[[2014,6,10]],"date-time":"2014-06-10T04:09:27Z","timestamp":1402373367000},"page":"1651-1655","source":"Crossref","is-referenced-by-count":11,"title":["Transient Facial Nerve Palsy After Occipital Nerve Block: A Case Report"],"prefix":"10.1111","volume":"54","author":[{"given":"Lauren","family":"Strauss","sequence":"first","affiliation":[{"name":"Department of Neurology Brigham and Women's Hospital  Boston MA USA"},{"name":"Department of Neurology Faulkner Hospital  Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Loder","sequence":"additional","affiliation":[{"name":"Department of Neurology Brigham and Women's Hospital  Boston MA USA"},{"name":"Department of Neurology Faulkner Hospital  Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Rizzoli","sequence":"additional","affiliation":[{"name":"Department of Neurology Brigham and Women's Hospital  Boston MA USA"},{"name":"Department of Neurology Faulkner Hospital  Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,6,10]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1111\/head.12053","article-title":"Expert consensus recommendations for the performance of peripheral nerve blocks for headaches \u2013 a narrative review","volume":"53","author":"Blumenfeld A","year":"2013","journal-title":"Headache"},{"key":"e_1_2_7_3_1","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1177\/019459988509300202","article-title":"Facial nerve grading system","volume":"93","author":"House JW","year":"1985","journal-title":"Otolaryngol Head Neck Surg"},{"key":"e_1_2_7_4_1","unstructured":"GadsenJ.Local Anesthetics: Clinical Pharmacology and Rational Selection.2013. Available at:http:\/\/www.nysora.com\/regional\u2010anethesia\/foundations\u2010of\u2010ra\/3492\u2010local\u2010anesthetics\u2010clinical\u2010pharmacology\u2010and\u2010rational\u2010selection.html(accessed April 28 2014)."},{"key":"e_1_2_7_5_1","first-page":"86","volume-title":"Cranial Nerves: Anatomy and Clinical Comments","author":"Wilson\u2010Pauwels L","year":"1988"},{"key":"e_1_2_7_6_1","first-page":"243","article-title":"Prejoianu B. Infratemporal course of the facial nerve; morphological, topographic and morphometric features","volume":"51","author":"Maru N","year":"2010","journal-title":"Rom J Morphol Embryol"},{"key":"e_1_2_7_7_1","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1002\/ca.21072","article-title":"Peripheral facial nerve communications and their clinical implications","volume":"24","author":"Diamond M","year":"2011","journal-title":"Clin Anat"},{"key":"e_1_2_7_8_1","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1007\/s10194-010-0244-x","article-title":"Adverse effect profile of lidocaine injections for occipital nerve block in occipital neuralgia","volume":"11","author":"Sahai\u2010Srivastava S","year":"2010","journal-title":"J Headache Pain"},{"key":"e_1_2_7_9_1","doi-asserted-by":"crossref","first-page":"1375","DOI":"10.1213\/00000539-199812000-00030","article-title":"A case of temporary facial nerve palsy after regional anesthesia of the scalp","volume":"87","author":"Harbers JBM","year":"1998","journal-title":"Anesth Analg"}],"container-title":["Headache: The Journal of Head and Face Pain"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fhead.12403","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/headachejournal.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/head.12403","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T08:51:45Z","timestamp":1762073505000},"score":1,"resource":{"primary":{"URL":"https:\/\/headachejournal.onlinelibrary.wiley.com\/doi\/10.1111\/head.12403"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,6,10]]},"references-count":8,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2014,11]]}},"alternative-id":["10.1111\/head.12403"],"URL":"https:\/\/doi.org\/10.1111\/head.12403","archive":["Portico"],"relation":{},"ISSN":["0017-8748","1526-4610"],"issn-type":[{"value":"0017-8748","type":"print"},{"value":"1526-4610","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,6,10]]}}}