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Four Decades of Occipital Nerve Stimulation for Headache Disorders: A Systematic Review.
Kollenburg, Linda; Kurt, Erkan; Mulleners, Wim; Abd-Elsayed, Alaa; Yazdi, Cyrus; Schatman, Michael E; Yong, R Jason; Cerda, Ivo H; Pappy, Adlai; Ashina, Sait; Robinson, Christopher Louis; Dominguez, Moises.
Afiliación
  • Kollenburg L; Department of Neurosurgery, Radboud University Medical Center, Nijmegen, The Netherlands.
  • Kurt E; Department of Neurosurgery, Radboud University Medical Center, Nijmegen, The Netherlands.
  • Mulleners W; Department of Pain & Palliative Care, Radboud University Medical Center, Nijmegen, The Netherlands.
  • Abd-Elsayed A; Department of Pain & Palliative Care, Radboud University Medical Center, Nijmegen, The Netherlands.
  • Yazdi C; Department of Neurology, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands.
  • Schatman ME; School of Medicine and Public Health, Department of Anesthesiology, University of Wisconsin, Madison, WI, USA.
  • Yong RJ; Department of Anesthesiology, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
  • Cerda IH; Department of Anesthesiology, Perioperative Care, and Pain Medicine, NYU Grossman School of Medicine, New York, NY, USA.
  • Pappy A; Department of Population Health-Division of Medical Ethics, NYU Grossman School of Medicine, New York, NY, USA.
  • Ashina S; Harvard Medical School, Brigham and Women's Hospital, Department of Anesthesiology, Perioperative, and Pain Medicine, Boston, MA, USA.
  • Robinson CL; Harvard Medical School, Brigham and Women's Hospital, Department of Anesthesiology, Perioperative, and Pain Medicine, Boston, MA, USA.
  • Dominguez M; Harvard Medical School, Brigham and Women's Hospital, Department of Anesthesiology, Perioperative, and Pain Medicine, Boston, MA, USA.
Curr Pain Headache Rep ; 2024 Jun 22.
Article en En | MEDLINE | ID: mdl-38907793
ABSTRACT
PURPOSE OF REVIEW Chronic headaches are a significant source of disability worldwide. Despite the development of conventional strategies, a subset of patients remain refractory and/or experience side effects following these treatments. Hence, occipital nerve stimulation (ONS) should be considered as an alternative strategy for intractable chronic headaches. This review aims to provide a comprehensive overview of the effectiveness, safety, mechanisms and practical application of ONS for the treatment of headache disorders. RECENT

FINDINGS:

Overall response rate of ONS is 35.7-100%, 17-100%, and 63-100% in patients with cluster headache, chronic migraine and occipital neuralgia respectively. Regarding the long-term effectivity in all groups, 41.6-88.0% of patients remain responders after ≥ 18.3 months. The most frequently reported adverse events include lead migration/fracture (13%) and local pain (7.3%). Based on our results, ONS can be considered a safe and effective treatment for chronic intractable headache disorders. To support more widespread application of ONS, additional research with larger sample sizes should be conducted.
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Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Idioma: En Revista: Curr Pain Headache Rep Asunto de la revista: FISIOLOGIA / NEUROLOGIA / PSICOFISIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Países Bajos
Texto completo
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Idioma: En Revista: Curr Pain Headache Rep Asunto de la revista: FISIOLOGIA / NEUROLOGIA / PSICOFISIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Países Bajos