‘Dual’ occipital and supraorbital nerve stimulation for primary headache

Burns, Brian

doi:10.1111/j.1468-2982.2009.02000.x

Cited by 7 publications

(5 citation statements)

References 21 publications

(25 reference statements)

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“…but patient selection and follow-up biases may have influenced the results (46). The combined stimulation was found to be useful in a case series of four drugresistant sporadic hemiplegic migraine patients (47).…”

Section: Migrainementioning

confidence: 96%

“…This impressive result needs to be confirmed in a RCT. Combined ONS–SNS was found to be superior to ONS alone in a small retrospective study of chronic migraineurs (44), but patient selection and follow-up biases may have influenced the results (46). The combined stimulation was found to be useful in a case series of four drug-resistant sporadic hemiplegic migraine patients (47).…”

Section: Invasive Peripheral Nerve Neurostimulationmentioning

confidence: 99%

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Invasive pericranial nerve interventions

Ambrosini

Schoenen

2016

Cephalalgia

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Background In many patients suffering from primary headaches, the available pharmacological and behavioural treatments are not satisfactory. This is a review of (minimally) invasive interventions targeting pericranial nerves that could be effective in refractory patients. Methods The interventions we will cover have in common pericranial nerves as targets, but are distinct according to their rationale, modality and invasiveness. They range from nerve blocks/infiltrations to the percutaneous implantation of neurostimulators and surgical decompression procedures. We have critically analysed the published data (PubMed) on their effectiveness and tolerability. Results and conclusions There is clear evidence for a preventative effect of suboccipital injections of local anaesthetics and/or steroids in cluster headache, while evidence for such an effect is weak in migraine. Percutaneous occipital nerve stimulation (ONS) provides significant long-term relief in more than half of drug-resistant chronic cluster headache patients, but no sham-controlled trial has tested this. The evidence that ONS has lasting beneficial effects in chronic migraine is at best equivocal. Suboccipital infiltrations are quasi-devoid of side effects, while ONS is endowed with numerous, though reversible, adverse events. Claims that surgical decompression of multiple pericranial nerves is effective in migraine are not substantiated by large, rigorous, randomized and sham-controlled trials.

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Section: Migrainementioning

confidence: 96%

Section: Invasive Peripheral Nerve Neurostimulationmentioning

confidence: 99%

Invasive pericranial nerve interventions

Ambrosini

Schoenen

2016

Cephalalgia

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“…Following this flurry of brief mentions, anecdotal reports and preliminary experiences, several larger series and detailed technical reports were published further establishing the practice of PNS with percutaneous electrodes [57][58][59][60][61][62][63][64][65]. Use of PNS for migraines, suggested by Popeney and Aló [57] based on experience with 25 patients in an uncontrolled study, was supported by subsequent clinical publications [66][67][68][69] and in-depth imaging study [70]. Subsequent to that, three neuromodulation device manufacturing companies (Medtronic, St. Jude Medical and Boston Scientific) launched prospective randomized studies to determine benefits of occipital PNS for migraine patients; the high prevalence of migraines in general population and large number of medically intractable cases make this indication potentially largest in PNS applications.…”

Section: Pns Progress: Early Yearsmentioning

confidence: 96%

“…Subsequent to that, three neuromodulation device manufacturing companies (Medtronic, St. Jude Medical and Boston Scientific) launched prospective randomized studies to determine benefits of occipital PNS for migraine patients; the high prevalence of migraines in general population and large number of medically intractable cases make this indication potentially largest in PNS applications. In addition to occipital PNS with percutaneous electrodes, occipital PNS paddles [46] and a combination of supraorbital and occipital PNS [68,69] have been tried for migraine treatment and prevention.…”

Section: Pns Progress: Early Yearsmentioning

confidence: 99%

“…Supraorbital PNS has been used for variety of indicationsoriginally, it was suggested for ophthalmic post-herpetic neuralgia [54,58] and trigeminal neuropathic pain [50,59,64]. Larger series described use of supraorbital PNS for supraorbital neuralgia [77], and more recently it was tried for migraines [68,69] and cluster headaches [76].…”

Section: Pns Progress: Early Yearsmentioning

confidence: 99%

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History of Peripheral Nerve Stimulation

Slavin¹

2011

Progress in Neurological Surgery

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Peripheral nerve stimulation (PNS) is an established neuromodulation approach that has been successfully used for the treatment of various painful conditions since the early 1960s. This review provides a comprehensive summary of relevant publications on PNS dividing its history into three distinct periods. The milestones of the field are related to the development of procedures, equipment and indications. As the most rapidly growing segment of operative neuromodulation, PNS continues to evolve as current and emerging clinical indications become matched by basic and clinical research, technological developments and procedural refinements.

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Supratrochlear and Supraorbital Nerve Stimulation for Chronic Headache: a Review

Goldberg

Nahas

2015

Curr Pain Headache Rep

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Chronic daily headache accounts for a significant socioeconomic burden due to decreased productivity, work absenteeism, multiple office and ER visits, and hospital admissions for pain control. Associated comorbidities add to this cost. Current traditional medical therapies may fail to provide adequate relief leading to the search for and use of other therapeutic modalities such as innovative medical devices. It is in this setting of the urgent demand for better pain control and to assimilate chronic headache sufferers back into society that a variety of neuromodulatory approaches have been emerging. This review aims to familiarize the reader with current literature regarding supraorbital and supratrochlear nerve stimulation for chronic headache, point out the advantages of this approach, address unanswered questions about this subject, and highlight future directions.

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‘Dual’ occipital and supraorbital nerve stimulation for primary headache

Cited by 7 publications

References 21 publications

Invasive pericranial nerve interventions

Invasive pericranial nerve interventions

History of Peripheral Nerve Stimulation

Supratrochlear and Supraorbital Nerve Stimulation for Chronic Headache: a Review

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