Skip to main content
Top
Published in: Acta Neurologica Belgica 1/2017

01-03-2017 | Review

Surgical treatment of migraine headaches

Authors: Lisa Gfrerer, Bahman Guyuron

Published in: Acta Neurologica Belgica | Issue 1/2017

Login to get access

Abstract

The senior author (BG) introduced the modern concept of migraine surgery in 2000. Since then, over 40 articles have been published by eight centers across the US, Europe, and Asia, describing positive outcomes after surgery in 68–95% of cases. Surgeons, neurologists, and patients are increasingly interested in this new treatment method. However, the majority of publications on this topic are found in surgical literature, with few articles presented in neurology journals. This review is an introduction to migraine surgery for neurologists from a surgeons view. It discusses the surgical treatment of migraine headaches based on the discoveries made and articles published by the senior author. It outlines the current history of migraine surgery, presents evidence supporting its effectiveness, and tries to dispel claims that what we are seeing is a placebo effect. It further describes detection of trigger sites and outlines surgical techniques of peripheral nerve decompression. We hope that this review will generate a positive discussion between surgeons and neurologists and lead to more interdisciplinary collaboration for the benefit of the patients in the future.
Literature
1.
go back to reference Guyuron B, Varghai A, Michelow BJ, Thomas T, Davis J (2000) Corrugator supercilii muscle resection and migraine headaches. Plast Reconstr Surg 106(2):429–434 (discussion 435–427) CrossRefPubMed Guyuron B, Varghai A, Michelow BJ, Thomas T, Davis J (2000) Corrugator supercilii muscle resection and migraine headaches. Plast Reconstr Surg 106(2):429–434 (discussion 435–427) CrossRefPubMed
2.
go back to reference Silberstein S, Mathew N, Saper J, Jenkins S (2000) Botulinum toxin type A as a migraine preventive treatment. For the BOTOX Migraine Clinical Research Group. Headache 40(6):445–450CrossRefPubMed Silberstein S, Mathew N, Saper J, Jenkins S (2000) Botulinum toxin type A as a migraine preventive treatment. For the BOTOX Migraine Clinical Research Group. Headache 40(6):445–450CrossRefPubMed
3.
go back to reference Behmand RA, Tucker T, Guyuron B (2003) Single-site botulinum toxin type a injection for elimination of migraine trigger points. Headache 43(10):1085–1089CrossRefPubMed Behmand RA, Tucker T, Guyuron B (2003) Single-site botulinum toxin type a injection for elimination of migraine trigger points. Headache 43(10):1085–1089CrossRefPubMed
4.
go back to reference Moskowitz MA, Reinhard JF Jr, Romero J, Melamed E, Pettibone DJ (1979) Neurotransmitters and the fifth cranial nerve: is there a relation to the headache phase of migraine? Lancet 2(8148):883–885CrossRefPubMed Moskowitz MA, Reinhard JF Jr, Romero J, Melamed E, Pettibone DJ (1979) Neurotransmitters and the fifth cranial nerve: is there a relation to the headache phase of migraine? Lancet 2(8148):883–885CrossRefPubMed
5.
go back to reference Guyuron B, Tucker T, Davis J (2002) Surgical treatment of migraine headaches. Plast Reconstr Surg 109(7):2183–2189CrossRefPubMed Guyuron B, Tucker T, Davis J (2002) Surgical treatment of migraine headaches. Plast Reconstr Surg 109(7):2183–2189CrossRefPubMed
8.
go back to reference Guyuron B, Kriegler JS, Davis J, Amini SB (2005) Comprehensive surgical treatment of migraine headaches. Plast Reconstr Surg 115(1):1–9PubMed Guyuron B, Kriegler JS, Davis J, Amini SB (2005) Comprehensive surgical treatment of migraine headaches. Plast Reconstr Surg 115(1):1–9PubMed
11.
go back to reference Kam-Hansen S, Jakubowski M, Kelley JM, Kirsch I, Hoaglin DC, Kaptchuk TJ, Burstein R (2014) Altered placebo and drug labeling changes the outcome of episodic migraine attacks. Sci Transl Med 6(218):218ra215. doi:10.1126/scitranslmed.3006175 CrossRef Kam-Hansen S, Jakubowski M, Kelley JM, Kirsch I, Hoaglin DC, Kaptchuk TJ, Burstein R (2014) Altered placebo and drug labeling changes the outcome of episodic migraine attacks. Sci Transl Med 6(218):218ra215. doi:10.​1126/​scitranslmed.​3006175 CrossRef
12.
go back to reference Liu MT, Armijo BS, Guyuron B (2012) A comparison of outcome of surgical treatment of migraine headaches using a constellation of symptoms versus botulinum toxin type A to identify the trigger sites. Plast Reconstr Surg 129(2):413–419. doi:10.1097/PRS.0b013e31823aecb7 CrossRefPubMed Liu MT, Armijo BS, Guyuron B (2012) A comparison of outcome of surgical treatment of migraine headaches using a constellation of symptoms versus botulinum toxin type A to identify the trigger sites. Plast Reconstr Surg 129(2):413–419. doi:10.​1097/​PRS.​0b013e31823aecb7​ CrossRefPubMed
32.
go back to reference Janis JE, Hatef DA, Ducic I, Ahmad J, Wong C, Hoxworth RE, Osborn T (2010) Anatomy of the auriculotemporal nerve: variations in its relationship to the superficial temporal artery and implications for the treatment of migraine headaches. Plast Reconstr Surg 125(5):1422–1428. doi:10.1097/PRS.0b013e3181d4fb05 CrossRefPubMed Janis JE, Hatef DA, Ducic I, Ahmad J, Wong C, Hoxworth RE, Osborn T (2010) Anatomy of the auriculotemporal nerve: variations in its relationship to the superficial temporal artery and implications for the treatment of migraine headaches. Plast Reconstr Surg 125(5):1422–1428. doi:10.​1097/​PRS.​0b013e3181d4fb05​ CrossRefPubMed
33.
go back to reference Lee M, Brown M, Chepla K, Okada H, Gatherwright J, Totonchi A, Alleyne B, Zwiebel S, Kurlander D, Guyuron B (2013) An anatomical study of the lesser occipital nerve and its potential compression points: implications for surgical treatment of migraine headaches. Plast Reconstr Surg 132(6):1551–1556. doi:10.1097/PRS.0b013e3182a80721 PubMed Lee M, Brown M, Chepla K, Okada H, Gatherwright J, Totonchi A, Alleyne B, Zwiebel S, Kurlander D, Guyuron B (2013) An anatomical study of the lesser occipital nerve and its potential compression points: implications for surgical treatment of migraine headaches. Plast Reconstr Surg 132(6):1551–1556. doi:10.​1097/​PRS.​0b013e3182a80721​ PubMed
34.
go back to reference Totonchi A, Pashmini N, Guyuron B (2005) The zygomaticotemporal branch of the trigeminal nerve: an anatomical study. Plast Reconstr Surg 115(1):273–277PubMed Totonchi A, Pashmini N, Guyuron B (2005) The zygomaticotemporal branch of the trigeminal nerve: an anatomical study. Plast Reconstr Surg 115(1):273–277PubMed
35.
go back to reference Dash KS, Janis JE, Guyuron B (2005) The lesser and third occipital nerves and migraine headaches. Plast Reconstr Surg 115(6):1752–1758 (discussion 1759–1760) CrossRefPubMed Dash KS, Janis JE, Guyuron B (2005) The lesser and third occipital nerves and migraine headaches. Plast Reconstr Surg 115(6):1752–1758 (discussion 1759–1760) CrossRefPubMed
37.
Metadata
Title
Surgical treatment of migraine headaches
Authors
Lisa Gfrerer
Bahman Guyuron
Publication date
01-03-2017
Publisher
Springer International Publishing
Published in
Acta Neurologica Belgica / Issue 1/2017
Print ISSN: 0300-9009
Electronic ISSN: 2240-2993
DOI
https://doi.org/10.1007/s13760-016-0731-1

Other articles of this Issue 1/2017

Acta Neurologica Belgica 1/2017 Go to the issue