O065. Drug-resistant chronic cluster headache successfully treated with supraorbital plus occipital nerve stimulation. A rare case report

Mercieri, M.; Negro, Andrea; Silvestri, Barbara; D'Alonzo, Lidia; Tigano, Sara; Arcioni, R.; Martelletti, Paolo

doi:10.1186/1129-2377-16-s1-a97

Cited by 2 publications

(1 citation statement)

References 2 publications

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“…The stimulation of the supraorbital nerve in CCH patients has only been described in case reports. These described positive responses in the patients [59,60]; no more data on this technique as a single treatment is available.…”

Section: Supraorbital Nerve Stimulationmentioning

confidence: 99%

Neurostimulation Treatment in Chronic Cluster Headache—a Narrative Review

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Summ

2021

Curr Pain Headache Rep

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Purpose of Review In this narrative review, the current literature on neurostimulation methods in the treatment of chronic cluster headache is evaluated. These neurostimulation methods include deep brain stimulation, vagus nerve stimulation, greater occipital nerve stimulation, sphenopalatine ganglion stimulation, transcranial magnetic stimulation, transcranial direct current stimulation, supraorbital nerve stimulation, and cervical spinal cord stimulation. Recent Findings Altogether, only nVNS and SPG stimulation are supported by at least one positive sham-controlled clinical trial for preventive and acute attack (only SPG stimulation) treatment. Other clinical trials either did not control at all or controlled by differences in the stimulation technique itself but not by a sham-control. Case series report higher responder rates. Summary The evidence for these neurostimulation methods in the treatment of chronic cluster headache is poor and in part contradictive. However, except deep brain stimulation, tolerability and safety of these methods are good so that in refractory situations application might be justified in individual cases.

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Section: Supraorbital Nerve Stimulationmentioning

confidence: 99%