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The Blog of Dr. Ann Conn

May13

Trigeminal & Occipital Stimulation for Migraine

5/13/2013 9:19 am
Posted by Dr. Ann Conn
At out Northshore clinic, we have been treatment an increasing number of patients with trigeminal and occipital neurostimulation.  We have seen significant success with these procedures.  Below in a seminal article on Neurostimulation for migraine.  I fully evaluate, diagnose and treatment each patient with a plan formulated with the patient.
Cephalalgia. 2010 Mar;30(3):260-71. doi: 10.1111/j.1468-2982.2009.01996.x. Epub 2010 Feb 15.

Combined occipital and supraorbital neurostimulation for the treatment of chronic migraine headaches: initial experience.

Reed KLBlack SBBanta CJ 2ndWill KR.

Source

Department of Anesthesiology, Presbyterian Hospital of Dallas, TX, USA. luca.valentinis@tin.it

Abstract

A novel approach to the treatment of chronic migraine headaches based on neurostimulation of both occipital and supraorbital nerves was developed and reduced to clinical practice in a series of patients with headaches unresponsive to currently available therapies. Following positive trials, seven patients with chronic migraine and refractory chronic migraine headaches had permanent combined occipital nerve-supraorbital nerve neurostimulation systems implanted. The relative responses to two stimulation programs were evaluated: one that stimulated only the occipital leads and one that stimulated both the occipital and supraorbital leads together. With follow-up ranging from 1 to 35 months all patients reported a full therapeutic response but only to combined supraorbital-occipital neurostimulation. Occipital nerve stimulation alone provided a markedly inferior and inadequate response. Combined occipital nerve-supraorbital nerve neurostimulation systems may provide effective treatment for patients with chronic migraine and refractory chronic migraine headaches. For patients with chronic migraine headaches the response to combined systems appears to be substantially better than occipital nerve stimulation alone.

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