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Neurostimulation approaches to primary headache disorders

Thornston Bartsch, Koen Paemeleire UGent and Peter Goadsby (2009) CURRENT OPINION IN NEUROLOGY. 22(3). p.262-268
abstract
Purpose of review: Conventional 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 findings: Recently, there has been considerable progress in neurostimulation approaches to medically intractable chronic-headache syndromes. Previous studies have analysed the safety and efficacy of suboccipital neurostimulation in drug-resistant chronic-headache syndromes such as in chronic migraine, chronic cluster headache and hemicrania continua. The studies suggest suboccipital neurostimulation can have an effect even decades after onset of headaches, thus representing a possible therapeutic option in patients that do not respond to any medication. Similarly, to date over 50 patients with cluster headaches underwent hypothalamic deep-brain stimulation. From these, an average of 50-70% did show a significant positive response. Summary: These findings will help to further elucidate the clinical potential of neurostimulation in chronic headache.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
deep-brain stimulation, chronic headache, greater occipital nerve, neurostimulation, OCCIPITAL NERVE-STIMULATION, CHRONIC CLUSTER HEADACHE, DEEP BRAIN-STIMULATION, SPINAL-CORD STIMULATION, DORSAL COLUMN STIMULATION, GAMMA-AMINOBUTYRIC-ACID, POSTERIOR HYPOTHALAMIC AREA, NOCICEPTIVE DURAL INPUT, PERIAQUEDUCTAL GRAY, PERIPHERAL NEUROSTIMULATION
journal title
CURRENT OPINION IN NEUROLOGY
Curr. Opinion Neurol.
volume
22
issue
3
pages
262 - 268
Web of Science type
Article
Web of Science id
000266188800010
JCR category
CLINICAL NEUROLOGY
JCR impact factor
5.43 (2009)
JCR rank
13/165 (2009)
JCR quartile
1 (2009)
ISSN
1350-7540
DOI
10.1097/WCO.0b013e32832ae61e
language
English
UGent publication?
yes
classification
A1
id
597436
handle
http://hdl.handle.net/1854/LU-597436
date created
2009-04-21 17:59:29
date last changed
2011-05-12 13:37:09
@article{597436,
  abstract     = {Purpose of review: Conventional 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 findings: Recently, there has been considerable progress in neurostimulation approaches to medically intractable chronic-headache syndromes. Previous studies have analysed the safety and efficacy of suboccipital neurostimulation in drug-resistant chronic-headache syndromes such as in chronic migraine, chronic cluster headache and hemicrania continua. The studies suggest suboccipital neurostimulation can have an effect even decades after onset of headaches, thus representing a possible therapeutic option in patients that do not respond to any medication. Similarly, to date over 50 patients with cluster headaches underwent hypothalamic deep-brain stimulation. From these, an average of 50-70\% did show a significant positive response.
Summary: These findings will help to further elucidate the clinical potential of neurostimulation in chronic headache.},
  author       = {Bartsch, Thornston and Paemeleire, Koen and Goadsby, Peter},
  issn         = {1350-7540},
  journal      = {CURRENT OPINION IN NEUROLOGY},
  keyword      = {deep-brain stimulation,chronic headache,greater occipital nerve,neurostimulation,OCCIPITAL NERVE-STIMULATION,CHRONIC CLUSTER HEADACHE,DEEP BRAIN-STIMULATION,SPINAL-CORD STIMULATION,DORSAL COLUMN STIMULATION,GAMMA-AMINOBUTYRIC-ACID,POSTERIOR HYPOTHALAMIC AREA,NOCICEPTIVE DURAL INPUT,PERIAQUEDUCTAL GRAY,PERIPHERAL NEUROSTIMULATION},
  language     = {eng},
  number       = {3},
  pages        = {262--268},
  title        = {Neurostimulation approaches to primary headache disorders},
  url          = {http://dx.doi.org/10.1097/WCO.0b013e32832ae61e},
  volume       = {22},
  year         = {2009},
}

Chicago
Bartsch, Thornston, Koen Paemeleire, and Peter Goadsby. 2009. “Neurostimulation Approaches to Primary Headache Disorders.” Current Opinion in Neurology 22 (3): 262–268.
APA
Bartsch, T., Paemeleire, K., & Goadsby, P. (2009). Neurostimulation approaches to primary headache disorders. CURRENT OPINION IN NEUROLOGY, 22(3), 262–268.
Vancouver
1.
Bartsch T, Paemeleire K, Goadsby P. Neurostimulation approaches to primary headache disorders. CURRENT OPINION IN NEUROLOGY. 2009;22(3):262–8.
MLA
Bartsch, Thornston, Koen Paemeleire, and Peter Goadsby. “Neurostimulation Approaches to Primary Headache Disorders.” CURRENT OPINION IN NEUROLOGY 22.3 (2009): 262–268. Print.