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Neurostimulation approaches to primary headache disorders

(2009) CURRENT OPINION IN NEUROLOGY. 22(3). p.262-268
Author
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

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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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