Abstract
A 47-year-old woman who had been suffering from severe right orbital and temporo-occipital headache since she was 20-year-old was admitted. The headache was associated with right conjunctival hyperemia, lacrimation, nasal congestion, and vomiting. Although the patient had been given ergotamine tartrate and received stellate ganglion block (SGB) and trigger point block, these were ineffective. Because she had tender points at the temporal and occipitoatlantar regions, she was treated with auriculotemporal nerve block and occipitoatlantal joint block at the same time. The headache disappeared immediately after these treatment. Although mild headache recurred five days after, it was successfully treated with ergotamine tartrate and SGB. After that, her severe headache disappeared.
