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Updated: Aug 4, 2026

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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
Published on: June 2, 2014
New surgical approach for migraine
Zhaomin Fan1, Zhong Fan, Haibo Wang
1Department of Otolaryngology-Head and Neck Surgery, Shandong Provincial Hospital, Jinan, Shandong, PR China.
Summary
A new surgical procedure for intractable migraine involves ligating arteries and severing a nerve. This safe and simple extradural approach offers a promising alternative for severe migraine cases, with no recurrences observed in a 10-patient study.
Area of Science:
- Neurosurgery
- Vascular Surgery
- Neurology
Background:
- Intractable migraine poses significant challenges in clinical management.
- Current treatment options for severe, refractory migraine cases are often limited.
Observation:
- A novel surgical technique was developed to address severe migraine.
- The procedure involves ligation of the superficial temporal artery and middle meningeal artery, along with severance of the greater superficial petrosal nerve.
Findings:
- Ten patients with intractable migraine underwent the surgical procedure.
- Follow-up over 2 to 18 years revealed no migraine recurrences.
- Three patients remained symptom-free for over 10 years post-surgery.
Implications:
- The described extradural surgical approach is relatively safe and simple.
- This procedure represents a viable alternative treatment for patients suffering from intractable migraine.
- Further research may validate this technique for broader clinical application in headache management.

