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Surgical Options for Migraine: An Overview.

Ali Totonchi1, Bahman Guyuron2, Hossein Ansari3

  • 1Associated Professor of Plastic surhery Case Western Reserve University, Metro health Hospital, Cleveland, USA.

Neurology India
|May 18, 2021
PubMed
Summary

Surgical treatment for migraine headaches, targeting specific trigger points, can benefit patients unresponsive to medication. Success hinges on precise trigger point identification and collaboration with headache specialists.

Keywords:
Headachemigrainemigraine surgeryoccipital nerveperipheralpreventivetrigeminal nervetrigger points

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Area of Science:

  • Neurology
  • Surgical Treatment
  • Headache Disorders

Background:

  • Migraine is a common neurological condition causing disabling headaches.
  • Surgical options for migraine have existed for two decades.
  • These procedures involve identifying and deactivating specific head and neck trigger sites.

Purpose of the Study:

  • To comprehensively review surgical treatments for migraine headaches.
  • To focus on the role of trigger points and their clinical manifestations.
  • To underscore the significance of appropriate patient selection in migraine surgery.

Main Methods:

  • Review of the historical discovery and evolution of migraine surgery.
  • Analysis of changes in patient selection criteria over time.

Main Results:

  • Surgical intervention may offer relief for migraines unresponsive to medical management.
  • Accurate identification of trigger points is crucial for successful surgical outcomes.
  • Collaboration between surgeons and neurologists/headache specialists is key.

Conclusions:

  • Trigger site deactivation surgery can be a viable option for refractory migraine patients.
  • Optimal patient selection and precise trigger point localization are paramount.
  • Multidisciplinary collaboration improves patient outcomes and differential diagnosis.