Reference : Peripheral nerve stimulation in chronic cluster headache.
Scientific journals : Article
Human health sciences : Neurology
http://hdl.handle.net/2268/104687
Peripheral nerve stimulation in chronic cluster headache.
English
MAGIS, Delphine mailto [Centre Hospitalier Universitaire de Liège - CHU > > Neurologie CHR >]
Schoenen, Jean mailto [Centre Hospitalier Universitaire de Liège - CHU > > Neurologie CHR >]
2011
Progress in Neurological Surgery
Karger
24
126-32
Yes (verified by ORBi)
International
0079-6492
Basel
Switzerland
[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.
Professionals ; Students
http://hdl.handle.net/2268/104687
10.1159/000323045
Copyright (c) 2011 S. Karger AG, Basel.

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