Neurostimulation approaches to primary headache disorders

@article{Bartsch2009NeurostimulationAT,
  title={Neurostimulation approaches to primary headache disorders},
  author={T. Bartsch and K. Paemeleire and P. Goadsby},
  journal={Current Opinion in Neurology},
  year={2009},
  volume={22},
  pages={262–268}
}
Purpose of reviewConventional 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 findingsRecently, there has been considerable progress in neurostimulation approaches to medically… Expand
Neurostimulation therapies for primary headache disorders: present and future.
TLDR
Neurostimulation therapies inaugurate a new era in headache management and offer a promising alternative to medications, but future studies are necessary to provide evidence-based efficacy data, knowledge on their mode of action and information about their pharmaco-economic advantages. Expand
Occipital nerve stimulation for headache disorders
TLDR
The scientific rationale to use ONS to treat headache disorders, with emphasis on the trigeminocervical complex is discussed, and the clinical phenotyping of patients is important to identify patients groups with the highest likelihood to respond to this modality of treatment. Expand
Pearls and pitfalls: Neurostimulation in headache
Context A variety of neuromodulatory approaches available today has broadened our therapeutic options significantly especially in drug refractory patients with chronic cluster headache and chronicExpand
Neuromodulatory Approaches to the Management of Medically Refractory Cluster Headache
TLDR
It is shown that trigeminal denervation may not be effective in preventing the headache attacks or autonomic symptoms of chronic cluster headache, and modern neurostimulating approaches, such as stimulation of the greater occipital nerve and hypothalamic deep brain stimulation, supersede neurodestructive procedures. Expand
Combined occipital and supraorbital neurostimulation for the treatment of chronic migraine headaches: Initial experience
TLDR
Combined occipital nerve–supraorbital nerve neurostimulation systems may provide effective treatment for patients with chronic migraine and refractory chronic migraine headaches. Expand
Advances and challenges in neurostimulation for headaches
TLDR
Occipitals nerve stimulation and deep brain stimulation of the posterior hypothalamus seem to be effective in people with chronic cluster headache, and occipital nerve stimulation is promising in chronic migraine. Expand
Neurostimulation for Neck Pain and Headache
TLDR
The current evidence for PNS in treatment of chronic migraine, trigeminal autonomic cephalagias and occipital neuralgia, and other secondary headache disorders is summarized. Expand
Transcutaneous supraorbital neurostimulation for the prevention of chronic migraine: a prospective, open-label preliminary trial
TLDR
A preliminary evaluation of the efficacy of the Cefaly® device for the prophylaxis of chronic migraine with or without medication overuse and over half the patients had a greater than 50% reduction in acute medication consumption. Expand
Phenotype of patients responsive to occipital nerve stimulation for refractory head pain
TLDR
It is concluded that careful clinical phenotyping may help in defining subgroups of patients with medically refractory headache that are more likely to respond to ONS, and medication overuse should be managed appropriately when considering ONS in migraine. Expand
Occipital nerve stimulation for the treatment of chronic cluster headache - lessons learned from 18 months experience.
TLDR
A prospective single-center observational trial in patients with refractory chronic cluster headache, including patients with ONS, to identify the best stimulation parameters and find the optimal parameters regarding pulse width and frequency is presented. Expand
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References

SHOWING 1-10 OF 93 REFERENCES
Neurostimulation in chronic cluster headache
TLDR
Occipital nerve stimulation was studied in two trials that included 17 iCCH patients and clinical efficacy was found to be very satisfactory by most patients and investigators, and ONS should be the preferred first-line invasive therapy for iC CH. Expand
Neurostimulation in primary headache syndromes
  • P. Goadsby
  • Medicine
  • Expert review of neurotherapeutics
  • 2007
TLDR
The initial results are encouraging and given the very significant disability of medically intractable primary headaches, this is a very promising area for patients and physicians alike. Expand
Occipital nerve stimulation for drug-resistant chronic cluster headache: a prospective pilot study
TLDR
The delay of 2 months or more between implantation and significant clinical improvement suggests that the procedure acts via slow neuromodulatory processes at the level of upper brain stem or diencephalic centres, and could be safer than deep hypothalamic stimulation. Expand
Occipital Nerve Stimulation for Chronic Headache—Long-Term Safety and Efficacy
TLDR
Occipital nerve stimulation may be effective in some patients with intractable headache, and results from prospective, randomized, sham-controlled studies in patients with medically refractory headache are needed. Expand
Treatment of intractable chronic cluster headache by occipital nerve stimulation in 14 patients
TLDR
Improvement occurred within days to weeks for those who responded most and patients consistently reported their attacks returned within hours to days when the device was off and one patient found that ONS helped abort acute attacks. Expand
Occipital Nerve Stimulation for Headache: Mechanisms and Efficacy
TLDR
The most promising of the device‐based approaches, neurostimulation therapy using occipital nerve stimulation is covered, far from proven and with much work to be done, this is an exciting potential development for patients and doctors. Expand
Deep Brain Stimulation for Intractable Chronic Cluster Headache: Proposals for Patient Selection
TLDR
In five patients with severe intractable chronic cluster headache, hypothalamic electrical stimulation produced complete and long-term pain relief with no relevant side-effects. Expand
Stimulation of the posterior hypothalamus for treatment of chronic intractable cluster headaches: first reported series.
TLDR
Preliminary results indicate a role for posterior hypothalamic stimulation, which was demonstrated to be safe and effective, in the treatment of drug-resistant chronic CHs, and point to a central pathogenesis for chronicCHs. Expand
Lessons From 8 Years' Experience of Hypothalamic Stimulation in Cluster Headache
TLDR
Autonomic studies of patients undergoing posterior hypothalamic stimulation provide further evidence that long-term stimulation is safe, revealing that it can cause altered modulation of the mechanisms of orthostatic adaptation without affecting the baroreflex, cardiorespiratory interactions or efferent sympathetic and vagal functions. Expand
Central neuromodulation in chronic migraine patients with suboccipital stimulators: a PET study.
TLDR
The activation pattern in the dorsal rostral pons is highly suggestive of a role for this structure in the pathophysiology of chronic migraine and the localization and persistence of activity during stimulation is exactly consistent with a region activated in episodic migraine, and with the persistence of activation of that area after successful treatment. Expand
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