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New research 871: Neurostimulation overview

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#1 Wed, 24/09/2014 - 14:33
PeterM
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New research 871: Neurostimulation overview

Headache. 2014 Mar;54(3):430-44. doi: 10.1111/head.12292. Epub 2014 Feb 14.

Neurostimulation for neck pain and headache.

Hong J1, Ball PA, Fanciullo GJ.

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Abstract

Patients with medically refractory headache disorders are a rare and challenging-to-treat group. The introduction of peripheral neurostimulation (PNS) has offered a new avenue of treatment for patients who are appropriate surgical candidates. The utility of PNS for headache management is actively debated. Preliminary reports suggested that 60-80% of patients with chronic headache who have failed maximum medical therapy respond to PNS. However, complications rates for PNS are high. Recent publication of 2 large randomized clinical trials with conflicting results has underscored the need for further research and careful patient counseling. In this review, we summarize the current evidence for PNS in treatment of chronic migraine, trigeminal autonomic cephalagias and occipital neuralgia, and other secondary headache disorders.

ATB
P.

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