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Neurostimulation for Refractory Cervicogenic Headache: A Three-Year Retrospective Study
Marzieh Eghtesadi1, Elizabeth Leroux2, Marie-Pierre Fournier-Gosselin3
1Department of Chronic Pain and Headache Management, Centre de Recherche du CHUM, Centre Hospitalier de l'Université de Montréal (CHUM), Montreal, Canada.
Neuromodulation : Journal of the International Neuromodulation Society
|November 28, 2017
Summary
Occipital nerve stimulation (ONS) offers a safe and effective treatment for refractory cervicogenic headache (CeH). This study found significant improvements in pain, quality of life, and mental health, with many patients returning to work.
Area of Science:
- Neurology
- Pain Management
- Neurosurgery
Background:
- Occipital nerve stimulation (ONS) is explored for neuropathic pain and refractory cervicogenic headache (CeH).
- Cervicogenic headache (CeH) significantly impacts quality of life and daily functioning.
Purpose of the Study:
- To assess the efficacy and safety of unilateral ONS for refractory CeH.
- To evaluate ONS impact on headache frequency, quality of life, and psychological status.
Main Methods:
- Retrospective chart review of patients with refractory CeH undergoing ONS implantation (2011-2013).
- Primary outcome: 50% reduction in headache days.
- Secondary outcomes: EQ VAS, HIT-6, HADS scores, work status, medication overuse.
Main Results:
- 69% of patients were responders at one-year follow-up, with significant improvements in EQ VAS and HIT-6 scores.
- Anxiety and depression scores resolved in 60% of patients; 5/7 disabled patients returned to work.
- At three years, 37.5% remained responders, with sustained improvements in EQ VAS and HIT-6 scores.
Conclusions:
- Unilateral ONS appears to be a safe and effective treatment for refractory CeH.
- ONS demonstrates potential for long-term pain relief and improved quality of life.
- Further research is warranted to confirm these findings and optimize treatment protocols.
