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Published in: Neurological Sciences 1/2013

01-05-2013 | TREATMENT

Occipital neurostimulation in primary headaches: update

Authors: A. Proietti Cecchini, M. Leone, V. Tullo, M. Curone, P. Di Fiore, G. Bussone

Published in: Neurological Sciences | Special Issue 1/2013

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Abstract

A subset of headache patients are chronic and results refractory to standard medical treatments, they are unsatisfied or unable to tolerate the side effects of medications. In the lack of more effective prophylactic treatment, there is need of alternative approach. Migraine is conceptualized as a chronic and potentially progressive disorder. It is conceivable that more aggressive therapeutic efforts could be warranted in drug-refractory chronic migraine. In this prospective, the new, device-based therapies that allow to affect brain function in less invasive ways may represent a therapeutic opportunity. Peripheral occipital neurostimulation resulted in several trials and case reports to be beneficial in a large variety of headache and craniofacial pain disorders, with chronic primary headache the most studied. We comment on our experience in the application of ONS in drug-refractory chronic cluster headache and chronic migraine patients.
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Metadata
Title
Occipital neurostimulation in primary headaches: update
Authors
A. Proietti Cecchini
M. Leone
V. Tullo
M. Curone
P. Di Fiore
G. Bussone
Publication date
01-05-2013
Publisher
Springer Milan
Published in
Neurological Sciences / Issue Special Issue 1/2013
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-013-1386-9

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