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[Peripheral neurostimulation in headache treatment].

A Yu Sokolov1, O A Lyubashina1, Yu S Vaganova2

  • 1Valdman Institute of Pharmacology, Pavlov First Saint Petersburg State Medical University, St. Petersburg, Russia; Pavlov Institute of Physiology of the Russian Academy of Sciences, St. Petersburg, Russia.

Zhurnal Nevrologii I Psikhiatrii Imeni S.S. Korsakova
|December 4, 2019
PubMed
Summary

Electrical neuromodulation offers a promising non-pharmacological approach for managing primary headaches, especially drug-resistant cases. This review explores various electrical stimulation techniques for headache relief.

Keywords:
headachemigraineneurostimulationnon-pharmacological treatmentoccipital nervestrigeminal nervevagus nerve

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Area of Science:

  • Neurology
  • Biomedical Engineering

Background:

  • Primary headaches affect a significant portion of the population in developed countries.
  • Current pharmacological treatments for headaches have limitations and may be ineffective for some patients.
  • Drug-resistant headaches necessitate alternative therapeutic strategies.

Purpose of the Study:

  • To review various electrical neuromodulation methods for managing primary headaches.
  • To discuss the clinical implementation of both implantable and non-invasive neuromodulation devices.
  • To explore the mechanisms underlying the headache-relieving effects of neuromodulation.

Main Methods:

  • Review of current literature on electrical neuromodulation for primary headaches.
  • Description of implantable and non-invasive neuromodulation technologies.
  • Discussion of portable electrical devices for headache management.
  • Analysis of electrostimulation methods targeting peripheral nerves, sphenopalatine ganglion, vagus nerve, and occipital nerves.
  • Inclusion of transcranial magnetic stimulation as a neuromodulation technique.

Main Results:

  • Electrical neuromodulation presents a viable non-pharmacological alternative for headache management.
  • Both invasive and non-invasive devices are advancing for clinical use in headache treatment.
  • Portable neuromodulation devices are becoming available on the market.
  • Specific methods like vagus nerve and occipital nerve stimulation are highlighted.

Conclusions:

  • Electrical neuromodulation is an emerging and effective strategy for primary headache treatment.
  • The development of diverse neuromodulation technologies offers new hope for patients with drug-resistant headaches.
  • Further research into the mechanisms of action can optimize neuromodulation therapies for cephalalgias.