Occipital Nerve Stimulation for Refractory Pain after Occipitocervical Fusion

Guzzi, Giusy; Torre, Attilio Della; Gabriele, Donatella; Volpentesta, Giorgio; Chirchiglia, Domenico; Stroscio, Carmelino Angelo; Lavano, Angelo

doi:10.1007/978-3-319-62515-7_52

Cited by 4 publications

(2 citation statements)

References 14 publications

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“…19,20 Occipital nerve stimulation (ONS) is a promising alternative in the management of intractable neuralgia. 28,29 As opposed to destructive surgery, ONS is reversible. We recommended the ONS to the patient and discussed the advantages and disadvantages of this technique in details.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Full-Endoscopic C2 Ganglionectomy for the Treatment of Intractable Occipital Neuralgia: Technical Note

Jiang²,

Xu³

et al. 2021

Operative Surg.

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BACKGROUND The C-2 dorsal root ganglionectomy procedure can provide effective treatment for intractable occipital neuralgia (ON). However, the traditional microsurgery of C2 ganglionectomy needs a wide incision and significant paraspinous muscle dissection for adequate visualization. The indications of endoscopic spine surgery are ever expanding, with the development of endoscopic armamentaria and technological innovations. OBJECTIVE To validate the feasibility of the approach and describe several operative nuances based on the authors’ experience. In this paper, the authors describe a patient with intractable ON who was successfully treated with a percutaneous full-endoscopic C2 ganglionectomy. METHODS We describe the case of an 83-yr-old female with a 2-yr history of left ON who did not respond to a series of treatments, including physical therapy, drug therapy, injection therapy, and radiofrequency therapy. After careful examination, we performed a percutaneous, full-endoscopic left C2 ganglionectomy. RESULTS The patient was successfully treated with a percutaneous full-endoscopic ganglionectomy. Afterwards, her intractable and constant pain was relieved. There was no cerebrospinal fluid leakage, incision infection, neck deformity, or other complications. CONCLUSION C2 ganglionectomy can be accomplished successfully using a full-endoscopic uniportal surgical technique under continuous irrigation, which has the advantages of excellent illumination and visualization, reduced surgery-related trauma, and reduced bleeding.

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Section: Discussionmentioning

confidence: 99%

Percutaneous Full-Endoscopic C2 Ganglionectomy for the Treatment of Intractable Occipital Neuralgia: Technical Note

Jiang²,

Xu³

et al. 2021

Operative Surg.

View full text Add to dashboard Cite

show abstract

“…Guzzi et al further described the use of PNS in the setting of refractory pain following occiptocervical fusion surgery. The study found that there was a high rate of > 50% pain reduction in this patient group but there were also a high rate of complications [ 61 ]. Overall, PNS is an effective treatment for refractory occipital pain yielding improved quality of life and reduced need for pharmaceuticals.…”

Section: Peripheral Nerve Stimulationmentioning

confidence: 99%