Abstract
Greater occipital nerve (GON) infiltration is used as a treatment for patients with primary and secondary headache disorders, including migraine and cluster headache.1,2⇓ This procedure has several advantages, including ease of performance and a relative lack of complications. As the physiology of the trigeminocervical neurons is better understood3 and possible brain modulatory roles of greater occipital nerve stimulation are explored,4 the procedure may gain increased usage. In our experience, GON infiltration is highly efficacious for certain patients, particularly those with tenderness over the nerve, and it remains a valuable intervention for the management of headache disorders. It is generally without side effects. Here we report two cases in which the procedure has been complicated by a previously unreported side effect of alopecia and cutaneous atrophy. These patients represent 2 of the last 100 patients we have injected for various headache indications. ### Case 1. A 27-year-old man sought treatment for a history of headaches …
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