Neurostimulation approaches to primary headache disorders
- Author
- Thornston Bartsch, Koen Paemeleire (UGent) and Peter Goadsby
- Organization
- Abstract
- Purpose of review: Conventional management options in medically intractable chronic-headache syndromes, such as chronic migraine, chronic cluster headache and hemicrania continua, are often limited. This review summarizes the current concepts, approaches and outcome data of invasive device-based neurostimulation approaches using occipital-nerve stimulation and deep-brain stimulation. Recent findings: Recently, there has been considerable progress in neurostimulation approaches to medically intractable chronic-headache syndromes. Previous studies have analysed the safety and efficacy of suboccipital neurostimulation in drug-resistant chronic-headache syndromes such as in chronic migraine, chronic cluster headache and hemicrania continua. The studies suggest suboccipital neurostimulation can have an effect even decades after onset of headaches, thus representing a possible therapeutic option in patients that do not respond to any medication. Similarly, to date over 50 patients with cluster headaches underwent hypothalamic deep-brain stimulation. From these, an average of 50-70% did show a significant positive response. Summary: These findings will help to further elucidate the clinical potential of neurostimulation in chronic headache.
- Keywords
- deep-brain stimulation, chronic headache, greater occipital nerve, neurostimulation, OCCIPITAL NERVE-STIMULATION, CHRONIC CLUSTER HEADACHE, DEEP BRAIN-STIMULATION, SPINAL-CORD STIMULATION, DORSAL COLUMN STIMULATION, GAMMA-AMINOBUTYRIC-ACID, POSTERIOR HYPOTHALAMIC AREA, NOCICEPTIVE DURAL INPUT, PERIAQUEDUCTAL GRAY, PERIPHERAL NEUROSTIMULATION
Citation
Please use this url to cite or link to this publication: http://hdl.handle.net/1854/LU-597436
- MLA
- Bartsch, Thornston, et al. “Neurostimulation Approaches to Primary Headache Disorders.” CURRENT OPINION IN NEUROLOGY, vol. 22, no. 3, 2009, pp. 262–68, doi:10.1097/WCO.0b013e32832ae61e.
- APA
- Bartsch, T., Paemeleire, K., & Goadsby, P. (2009). Neurostimulation approaches to primary headache disorders. CURRENT OPINION IN NEUROLOGY, 22(3), 262–268. https://doi.org/10.1097/WCO.0b013e32832ae61e
- Chicago author-date
- Bartsch, Thornston, Koen Paemeleire, and Peter Goadsby. 2009. “Neurostimulation Approaches to Primary Headache Disorders.” CURRENT OPINION IN NEUROLOGY 22 (3): 262–68. https://doi.org/10.1097/WCO.0b013e32832ae61e.
- Chicago author-date (all authors)
- Bartsch, Thornston, Koen Paemeleire, and Peter Goadsby. 2009. “Neurostimulation Approaches to Primary Headache Disorders.” CURRENT OPINION IN NEUROLOGY 22 (3): 262–268. doi:10.1097/WCO.0b013e32832ae61e.
- Vancouver
- 1.Bartsch T, Paemeleire K, Goadsby P. Neurostimulation approaches to primary headache disorders. CURRENT OPINION IN NEUROLOGY. 2009;22(3):262–8.
- IEEE
- [1]T. Bartsch, K. Paemeleire, and P. Goadsby, “Neurostimulation approaches to primary headache disorders,” CURRENT OPINION IN NEUROLOGY, vol. 22, no. 3, pp. 262–268, 2009.
@article{597436, abstract = {{Purpose of review: Conventional management options in medically intractable chronic-headache syndromes, such as chronic migraine, chronic cluster headache and hemicrania continua, are often limited. This review summarizes the current concepts, approaches and outcome data of invasive device-based neurostimulation approaches using occipital-nerve stimulation and deep-brain stimulation. Recent findings: Recently, there has been considerable progress in neurostimulation approaches to medically intractable chronic-headache syndromes. Previous studies have analysed the safety and efficacy of suboccipital neurostimulation in drug-resistant chronic-headache syndromes such as in chronic migraine, chronic cluster headache and hemicrania continua. The studies suggest suboccipital neurostimulation can have an effect even decades after onset of headaches, thus representing a possible therapeutic option in patients that do not respond to any medication. Similarly, to date over 50 patients with cluster headaches underwent hypothalamic deep-brain stimulation. From these, an average of 50-70% did show a significant positive response. Summary: These findings will help to further elucidate the clinical potential of neurostimulation in chronic headache.}}, author = {{Bartsch, Thornston and Paemeleire, Koen and Goadsby, Peter}}, issn = {{1350-7540}}, journal = {{CURRENT OPINION IN NEUROLOGY}}, keywords = {{deep-brain stimulation,chronic headache,greater occipital nerve,neurostimulation,OCCIPITAL NERVE-STIMULATION,CHRONIC CLUSTER HEADACHE,DEEP BRAIN-STIMULATION,SPINAL-CORD STIMULATION,DORSAL COLUMN STIMULATION,GAMMA-AMINOBUTYRIC-ACID,POSTERIOR HYPOTHALAMIC AREA,NOCICEPTIVE DURAL INPUT,PERIAQUEDUCTAL GRAY,PERIPHERAL NEUROSTIMULATION}}, language = {{eng}}, number = {{3}}, pages = {{262--268}}, title = {{Neurostimulation approaches to primary headache disorders}}, url = {{http://doi.org/10.1097/WCO.0b013e32832ae61e}}, volume = {{22}}, year = {{2009}}, }
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