Refractory headaches treated with bilateral occipital and temporal region stimulation

Refractory headaches treated with bilateral occipital and temporal region stimulation

Kelly J Zach,1 Terrence L Trentman,1 Richard S Zimmerman,2 David W Dodick31Department of Anesthesiology, 2Department of Neurosurgery, 3Department of Neurology, Mayo Clinic in Arizona, Phoenix, AZ, USAObjectives: To describe use of bilateral temporal and occipital stimulator leads for a refractory h...

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Autores principales: Zach KJ, Trentman TL, Zimmerman RS, Dodick DW
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2014
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Medical technology
R855-855.5
Acceso en línea:https://doaj.org/article/fbb25770b2974a2981126e25c6f26f97
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spelling oai:doaj.org-article:fbb25770b2974a2981126e25c6f26f972021-12-02T01:29:20ZRefractory headaches treated with bilateral occipital and temporal region stimulation1179-1470https://doaj.org/article/fbb25770b2974a2981126e25c6f26f972014-03-01T00:00:00Zhttp://www.dovepress.com/refractory-headaches-treated-with-bilateral-occipital-and-temporal-reg-a16218https://doaj.org/toc/1179-1470 Kelly J Zach,1 Terrence L Trentman,1 Richard S Zimmerman,2 David W Dodick31Department of Anesthesiology, 2Department of Neurosurgery, 3Department of Neurology, Mayo Clinic in Arizona, Phoenix, AZ, USAObjectives: To describe use of bilateral temporal and occipital stimulator leads for a refractory headache disorder.Materials and methods: A 31-year-old female had a 10-year history of chronic, severe occipital and temporal region headaches. The patient underwent permanent implant of an occipital stimulator system that resulted in sustained, compete resolution of her occipital pain. However, she continued to suffer disabling (10/10) temporal region headaches and was bedbound most days of the week. Therefore, bilateral temporal stimulator leads were implanted and tunneled to her internal pulse generator.Results: At 12-month follow-up, the patient enjoyed sustained improvement in her pain scores (8/10) and marked increase in her level of functioning. Taking into account increased activity level, she rated her overall improvement at 50%. Unfortunately, infection and erosion of her right temporal lead necessitated temporal stimulator removal.Conclusion: Headache disorders may require stimulation of all painful cephalic regions. However, our success in this case must be considered in light of the technical challenges and expense of placing stimulator leads subcutaneously around the head and neck, including the risk of infection, lead breakage, erosion, and migration.Keywords: headache, occipital nerve stimulation, peripheral nerve stimulation, migraine, cluster headacheZach KJTrentman TLZimmerman RSDodick DWDove Medical PressarticleMedical technologyR855-855.5ENMedical Devices: Evidence and Research, Vol 2014, Iss default, Pp 55-59 (2014)
institution DOAJ
collection DOAJ
language EN
topic Medical technology
R855-855.5
spellingShingle Medical technology
R855-855.5
Zach KJ
Trentman TL
Zimmerman RS
Dodick DW
Refractory headaches treated with bilateral occipital and temporal region stimulation
description Kelly J Zach,1 Terrence L Trentman,1 Richard S Zimmerman,2 David W Dodick31Department of Anesthesiology, 2Department of Neurosurgery, 3Department of Neurology, Mayo Clinic in Arizona, Phoenix, AZ, USAObjectives: To describe use of bilateral temporal and occipital stimulator leads for a refractory headache disorder.Materials and methods: A 31-year-old female had a 10-year history of chronic, severe occipital and temporal region headaches. The patient underwent permanent implant of an occipital stimulator system that resulted in sustained, compete resolution of her occipital pain. However, she continued to suffer disabling (10/10) temporal region headaches and was bedbound most days of the week. Therefore, bilateral temporal stimulator leads were implanted and tunneled to her internal pulse generator.Results: At 12-month follow-up, the patient enjoyed sustained improvement in her pain scores (8/10) and marked increase in her level of functioning. Taking into account increased activity level, she rated her overall improvement at 50%. Unfortunately, infection and erosion of her right temporal lead necessitated temporal stimulator removal.Conclusion: Headache disorders may require stimulation of all painful cephalic regions. However, our success in this case must be considered in light of the technical challenges and expense of placing stimulator leads subcutaneously around the head and neck, including the risk of infection, lead breakage, erosion, and migration.Keywords: headache, occipital nerve stimulation, peripheral nerve stimulation, migraine, cluster headache
format article
author Zach KJ
Trentman TL
Zimmerman RS
Dodick DW
author_facet Zach KJ
Trentman TL
Zimmerman RS
Dodick DW
author_sort Zach KJ
title Refractory headaches treated with bilateral occipital and temporal region stimulation
title_short Refractory headaches treated with bilateral occipital and temporal region stimulation
title_full Refractory headaches treated with bilateral occipital and temporal region stimulation
title_fullStr Refractory headaches treated with bilateral occipital and temporal region stimulation
title_full_unstemmed Refractory headaches treated with bilateral occipital and temporal region stimulation
title_sort refractory headaches treated with bilateral occipital and temporal region stimulation
publisher Dove Medical Press
publishDate 2014
url https://doaj.org/article/fbb25770b2974a2981126e25c6f26f97
work_keys_str_mv AT zachkj refractoryheadachestreatedwithbilateraloccipitalandtemporalregionstimulation
AT trentmantl refractoryheadachestreatedwithbilateraloccipitalandtemporalregionstimulation
AT zimmermanrs refractoryheadachestreatedwithbilateraloccipitalandtemporalregionstimulation
AT dodickdw refractoryheadachestreatedwithbilateraloccipitalandtemporalregionstimulation
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