Article (Scientific journals)
Peripheral nerve stimulation in chronic cluster headache.
MAGIS, Delphine; Schoenen, Jean
2011In Progress in Neurological Surgery, 24, p. 126-32
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Abstract :
[en] Cluster headache is well known as one of the most painful primary neurovascular headache. Since 1% of chronic cluster headache patients become refractory to all existing pharmacological treatments, various invasive and sometimes mutilating procedures have been tempted in the last decades. Recently, neurostimulation methods have raised new hope for drug-resistant chronic cluster headache patients. The main focus of this chapter is on stimulation of the great occipital nerve, which has been the best evaluated peripheral nerve stimulation technique in drug-resistant chronic cluster headache, providing the most convincing results so far. Other peripheral nerve stimulation approaches used for this indication are also reviewed in detail. Although available studies are limited to a relatively small number of patients and placebo-controlled trials are lacking, existent clinical data suggest that occipital nerve stimulation should nonetheless be recommended for intractable chronic cluster headache patients before more invasive deep brain stimulation surgery. More studies are needed to evaluate the usefulness of supraorbital nerve stimulation and of vagus nerve stimulation in management of cluster headaches.
Disciplines :
Neurology
Author, co-author :
MAGIS, Delphine ;  Centre Hospitalier Universitaire de Liège - CHU > Neurologie CHR
Schoenen, Jean  ;  Centre Hospitalier Universitaire de Liège - CHU > Neurologie CHR
Language :
English
Title :
Peripheral nerve stimulation in chronic cluster headache.
Publication date :
2011
Journal title :
Progress in Neurological Surgery
ISSN :
0079-6492
Publisher :
Karger, Basel, Switzerland
Volume :
24
Pages :
126-32
Peer reviewed :
Peer Reviewed verified by ORBi
Commentary :
Copyright (c) 2011 S. Karger AG, Basel.
Available on ORBi :
since 05 December 2011

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