| Neurostimulation in chronic cluster headache. | |
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MedLine Citation:
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PMID: 18474196 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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About 1% of all chronic cluster headache patients become intractable (iCCH; ie, they are refractory to adequate regimens of all established preventive drugs). Various lesional interventions have been attempted in these patients, none with lasting benefits. In recent years, nondestructive neurostimulation methods have raised new hope. Hypothalamic deep brain stimulation (hDBS) acts rather rapidly and has durable efficacy, but it is not without risk. Occipital nerve stimulation (ONS) was studied in two trials that included 17 iCCH patients. Clinical efficacy was found to be very satisfactory by most patients and investigators. Although slightly less efficacious than hDBS, ONS has the advantage of being harmless and reversible. At this stage, it should be the preferred first-line invasive therapy for iCCH. Recent case reports mention efficacy of supraorbital and vagus nerve stimulation. Whether these neurostimulation methods have a place in the management of iCCH patients remains to be determined. |
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Authors:
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Delphine Magis; Jean Schoenen |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Review |
Journal Detail:
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Title: Current pain and headache reports Volume: 12 ISSN: 1534-3081 ISO Abbreviation: Curr Pain Headache Rep Publication Date: 2008 Apr |
Date Detail:
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Created Date: 2008-05-13 Completed Date: 2008-09-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100970666 Medline TA: Curr Pain Headache Rep Country: United States |
Other Details:
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Languages: eng Pagination: 145-53 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Cluster Headache
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physiopathology,
therapy* Deep Brain Stimulation / methods* Electric Stimulation Therapy / methods* Humans Vagus Nerve / physiology |
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