The great auricular nerve can be damaged by the neck surgery, tumor, and long-time pressure on the neck. But, great auricular neuralgia is very rare condition. It was managed by several medication and landmark-based great auricular nerve block with poor prognosis.Patient concerns:
A 25-year-old man presented with a pain in the left lateral neck and auricle.Diagnosis:
He was diagnosed with great auricular neuralgia.Interventions:
His pain was not reduced by medication. Therefore, the great auricular nerve block with local anesthetics and steroid was performed under ultrasound guidance.Outcomes:
Ultrasound guided great auricular nerve block alleviated great auricular neuralgia.Lessons:
This medication-resistant great auricular neuralgia was treated by the ultrasound guided great auricular nerve block with local anesthetic agent and steroid. Therefore, great auricular nerve block can be a good treatment option of medication resistant great auricular neuralgia.