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Related Concept Videos

Cranial Nerves: Overview and Anatomy01:19

Cranial Nerves: Overview and Anatomy

5.7K
The cranial nerves are an important part of the complex network of nerves in the human body. These nerves emerge directly from the brain and are responsible for transmitting essential information between the brain and various parts of the head and neck. There are 12 pairs of cranial nerves, systematically numbered using Roman numerals from I to XII, beginning from the anterior and moving to the posterior of the brain. Each cranial nerve is uniquely identified by names that reflect its function...
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Cranial Nerves: Types Part II01:22

Cranial Nerves: Types Part II

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Cranial nerves are responsible for transmitting motor and sensory information between the brain and various parts of the body. There are twelve pairs of cranial nerves. While the first six innervate the head and neck, the latter six nerves innervate the head and neck, as well as organs and tissues in the thoracic and abdominal cavities. They facilitate communication, expression, and autonomic control within the human body.
Facial Nerve (Cranial Nerve VII)
Cranial nerve VII, or the facial nerve,...
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Cranial Nerves: Types Part I01:14

Cranial Nerves: Types Part I

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Cranial nerves are responsible for transmitting motor and sensory information between the brain and various parts of the body. There are twelve pairs of cranial nerves, with the first six being essential in sensory perception, motor control, and autonomic functions related to the head and neck.
Olfactory Nerve (Cranial Nerve I)
The olfactory nerve, or cranial nerve I, is unique as it is purely sensory and dedicated to the sense of smell. This nerve originates in the olfactory epithelium of the...
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Related Experiment Videos

Invasive pericranial nerve interventions.

Anna Ambrosini1, Jean Schoenen2

  • 11 IRCCS NEUROMED, Pozzilli (Isernia), Italy.

Cephalalgia : an International Journal of Headache
|March 25, 2016
PubMed
Summary

Minimally invasive treatments targeting pericranial nerves offer options for refractory primary headaches. Suboccipital injections show promise for cluster headache, while occipital nerve stimulation (ONS) benefits some chronic cluster headache patients.

Keywords:
Migrainecluster headachenerve blockspercutaneous neurostimulationsurgical decompressiontreatment

Related Experiment Videos

Area of Science:

  • Neurology
  • Neurosurgery
  • Pain Management

Background:

  • Primary headaches often have unsatisfactory treatment outcomes with conventional therapies.
  • Refractory headache patients may benefit from interventions targeting pericranial nerves.
  • A review of minimally invasive procedures for headache management is warranted.

Purpose of the Study:

  • To review the effectiveness and tolerability of minimally invasive interventions for primary headaches.
  • To evaluate treatments targeting pericranial nerves in refractory headache patients.
  • To analyze published data on nerve blocks, neurostimulation, and surgical decompression.

Main Methods:

  • Systematic review of published data from PubMed.
  • Inclusion of interventions targeting pericranial nerves: nerve blocks, neurostimulators, surgical decompression.
  • Critical analysis of effectiveness and tolerability data.

Main Results:

  • Suboccipital injections (local anesthetics/steroids) have clear preventative effects in cluster headache; evidence is weak for migraine.
  • Percutaneous occipital nerve stimulation (ONS) offers significant relief for over half of drug-resistant chronic cluster headache patients.
  • Evidence for ONS in chronic migraine is equivocal; surgical decompression claims lack rigorous trial support.

Conclusions:

  • Suboccipital injections are generally safe with minimal side effects.
  • ONS shows efficacy in chronic cluster headache but carries reversible adverse events.
  • Current evidence does not substantiate surgical decompression for migraine effectiveness.