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Table 1 Compression points of occipital migraine headaches

From: Single midline incision approach for decompression of greater, lesser and third occipital nerves in migraine surgery

GON

LON

TON

Musculofascial tissue surrounding obliquus capitus inferior muscle

Zone 1: Emergence from SCM

Point of exit from semispinalis muscle (multiple branches may be involved)

Epimysium underlying the semispinalis or the muscle itself

Zone 2: Posterior border of SCM

 

Exit point from semispinalis muscle

Zone 3: Nuchal line crossing point (multiple branches may be involved)

Insertion into the nuchal line

 

Occipital artery

  1. GON greater occipital nerve, LON lesser occipital nerve, TON third occipital nerve, SCM sternocleidomastoid