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Neurostimulation for primary headache disorders.

Todd J Schwedt1

  • 1Washington University School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110, USA. schwedtt@neuro.wustl.edu

Current Neurology and Neuroscience Reports
|March 10, 2009
PubMed
Summary
This summary is machine-generated.

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Neurostimulation offers a promising treatment for chronic headaches, with growing evidence for peripheral nerve stimulation and deep brain stimulation in managing conditions like cluster headaches and migraines.

Area of Science:

  • Neurology
  • Neurosurgery

Background:

  • Chronic, disabling primary headache disorders present significant treatment challenges.
  • Neurostimulation is an emerging therapeutic option for intractable headache conditions.

Purpose of the Study:

  • To review the mechanisms of action for neurostimulation in headache treatment.
  • To summarize the current safety and efficacy data for neurostimulation in managing various headache disorders.

Main Methods:

  • Review of existing literature on neurostimulation for primary headache disorders.
  • Discussion of peripheral nerve stimulation and deep brain stimulation applications.

Main Results:

  • Peripheral nerve stimulation shows accumulating experience in treating occipital neuralgia, cluster headache, and migraine.

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  • Deep brain stimulation has been utilized for chronic cluster headache and specific neuralgiform headaches.

    • Conclusions:

    • Neurostimulation, including peripheral and deep brain approaches, is a developing treatment for intractable headaches.
    • Further research is needed to fully establish the safety and efficacy profiles of these novel modalities.