Occipital Nerve Stimulation for the Treatment of Occipital Neuralgia—Eight Case Studies

Johnstone, Charlotte; Sundaraj, Raj

doi:10.1111/j.1525-1403.2006.00041.x

Cited by 119 publications

(83 citation statements)

References 24 publications

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“…19.22 ). Johnstone and Sundaraj [ 39 ] described eight cases of using occipital nerve stimulation for occipital neuralgia, while Magiis et al [ 40 ] and Burns et al [ 41 ] used occipital stimulators as part of a treatment program for drug-resistant cluster headaches.…”

Section: Occipital Nerve Stimulationmentioning

confidence: 98%

Third Occipital Nerve Entrapment

Rawner

Trescot

2016

Peripheral Nerve Entrapments

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Section: Occipital Nerve Stimulationmentioning

confidence: 98%

Third Occipital Nerve Entrapment

Rawner

Trescot

2016

Peripheral Nerve Entrapments

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“…The most common indications for occipital nerve stimulation are postherpetic neuralgia, idiopathic occipital neuralgia, migraine and cluster headache [2] . Also patients with occipital pain due to cervical spinal degenerative disorders or pain developing after cervical spine surgery including discectomy and ventral fusion have been reported to benefit from occipital nerve stimulation [1,6] .…”

Section: Discussionmentioning

confidence: 99%

“…Occipital nerve stimulation has been shown to be beneficial in medically intractable occipital neuralgia, migraine, cluster headache and trigeminal neuralgia [3][4][5][6] . Thus far, it has not been reported in patients suffering from intractable neck pain after occipitocervical fusion to our knowledge.…”

Section: Introductionmentioning

confidence: 99%

Occipital Nerve Stimulation for Refractory Occipital Pain after Occipitocervical Fusion: Expanding Indications

Ghaemi

Capelle²,

Kinfe³

et al. 2008

Stereotact Funct Neurosurg

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Background: Occipital nerve stimulation is being used for various pain syndromes. Here, we expand its use for the treatment of refractory occipital pain after occipitocervical fusion. Case Description: We describe a case of occipital neuralgia in a 60-year-old man following posterior occipitocervical fusion. The maximum pain intensity was rated 9/10 on the visual analogue scale (VAS). Since pain proved to be refractory to analgetic medication, two quadripolar electrodes (Resume II, Medtronic) were implanted in the occipital region to stimulate the occipital nerve bilaterally. The patient experienced a dramatic response during test stimulation for 10 days with externalized electrodes, and a pacemaker (Synergy, Medtronic) was connected to the electrodes. While on chronic stimulation (bipolar 6 V, 210 μs, 130 Hz) improvement of pain was maintained, reflected by a decrease in the VAS score to 1/10 at 12 months of follow-up. Conclusion: Occipital nerve stimulation for medical refractory occipital neuralgia after occipitocervical fusion is an effective method expanding the indications for its use.

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“…167 Occipital nerve stimulation (ONS) is the most well-known and well-published peripheral neuromodulation procedure for the treatment of intractable headaches. ONS has been used to treat occipital neuralgia, [168][169][170][171] chronic migraine, 172,173 hemicrania continua, 174 SUNCT, 175 and cluster headache. 174,[176][177][178][179] A recent systematic review concluded that there is at least level IV (limited) evidence supporting the use of ONS.…”

Section: Neuromodulation Techniquesmentioning

confidence: 99%