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Published in: Neurological Sciences 1/2009

01-05-2009 | Migraine - The Future

Cluster headache and TACs: rationale for central and peripheral neuromodulation

Authors: G. Broggi, G. Messina, A. Franzini

Published in: Neurological Sciences | Special Issue 1/2009

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Abstract

Cluster headache, the most severe of primary headache conditions for functional and social impairment it provokes, has been recently the object of a great amount of clinical, physiopathological, surgical and functional neuroradiological studies aimed to uncover the real mechanisms which underlie its disabling manifestations. Refinement of methodological and systematic features of multidisciplinary researches in this field has been allowing for more and more precise delineations of the role of both peripheral and central nervous system’s contribution in pathophysiology of the disease. Aim of this manuscript is the report of the present knowledge in the role of the different surgical options in the treatment of drug-resistant cluster headache and Short-lasting Unilateral neuralgiform headache attacks with Conjunctival injection and Tearing (SUNCT), which take into account their different hypothesized pathological mechanisms and which comprise central nervous system’s approach (Deep Brain Stimulation [DBS] and peripheral approach, namely Occipital Nerve Stimulation (ONS) and Vagal Nerve Stimulation (VNS).
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Metadata
Title
Cluster headache and TACs: rationale for central and peripheral neuromodulation
Authors
G. Broggi
G. Messina
A. Franzini
Publication date
01-05-2009
Publisher
Springer Milan
Published in
Neurological Sciences / Issue Special Issue 1/2009
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-009-0082-2

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