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Subcutaneous Trigeminal Nerve Field Stimulation for Refractory Facial Pain
Published on: May 10, 2017
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Peripheral Nerve Stimulation for Facial Pain Using Conventional Devices: Technique and Complication Avoidance
1Center for Neuromodulation, Department of Neurosurgery, NYU Langone Medical Center, New York, New York, USA, alon.mogilner@nyulangone.org.
Progress in Neurological Surgery
|August 20, 2020
Summary
Peripheral neuromodulation, including occipital nerve stimulation (ONS), offers effective treatment for headache and facial pain. This review details surgical techniques and complication-minimizing strategies for practitioners using existing hardware.
Area of Science:
- Neurology
- Neurosurgery
- Pain Management
Background:
- Peripheral neuromodulation for headache and facial pain emerged two decades ago.
- Procedures like occipital nerve stimulation (ONS) and trigeminal nerve stimulation are effective despite lacking FDA approval.
Purpose of the Study:
- To review surgical techniques for ONS and peripheral nerve stimulation of the head and face.
- To discuss methods for minimizing device-related complications when using non-dedicated hardware.
Main Methods:
- Review of surgical techniques for ONS and trigeminal branch stimulation.
- Discussion of practical strategies learned by experienced practitioners.
Main Results:
- Established effectiveness of ONS and trigeminal nerve stimulation for various facial pain and headache syndromes.
- Identification of technical issues and complications arising from using SCS hardware for peripheral neuromodulation.
Conclusions:
- Peripheral neuromodulation is a valuable non-neurosurgical option for headache and facial pain.
- Adapting spinal cord stimulation hardware presents challenges; experienced-based techniques are crucial for safe and effective application.
