Peripheral Nerve Stimulator for the Treatment of Supraorbital Neuralgia: A Retrospective Case Series

Amin, Sandeep D.; Buvanendran, Asokumar; Ks, Park; Kroin, JS; Moric, Mario

doi:10.1111/j.1468-2982.2008.01535.x

Cited by 74 publications

(57 citation statements)

References 16 publications

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“…1,8,21 We report our institutional experience with 14 cases of CM that were treated with ONS and SONS in the hope of adding evidence to the growing knowledge of neuromodulation for primary headache treatment as well as adding neurosurgical perspective in techniques to prevent lead-related complications.…”

Section: Department Of Neurosurgery Thomas Jefferson University Phimentioning

confidence: 99%

Dual occipital and supraorbital nerve stimulation for chronic migraine: a single-center experience, review of literature, and surgical considerations

Hann

Sharan²

2013

FOC

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Occipital nerve stimulation (ONS) has been studied in a few clinical trials for the treatment of chronic migraine (CM) with failure to prove sufficient efficacy. To date, peripheral nerve stimulation for the treatment of primary headache is limited to off-label use only. The authors report their institutional experience in CM therapy with combined ONS and supraorbital nerve stimulation (SONS). Fourteen patients treated with dual ONS and SONS for CM were studied with follow-up ranging from 3 to 60 months. Seventy-one percent achieved successful stimulation as defined by a 50% or greater decrease in pain severity. The mean reduction in headache-related visual analog scale (VAS) score was 3.92 ± 2.4. Half of the patients also had resolution of migraine-associated neurological symptoms and returned to normal functional capacity. The main adverse events included lead migration (42.8%), supraorbital lead allodynia (21.4%), and infection (14.2%) with a resulting high reoperation rate (35.7%). The authors' stimulation efficacy was superior to the combined 33% positive response rates (≥ 50% pain reduction) in the published studies of ONS for CM. This is likely due to the fact that topographical paresthesia induced by combined ONS and SONS covers the area of migraine pain better than ONS alone. The authors also discuss effective surgical techniques to prevent patient morbidity.

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Section: Department Of Neurosurgery Thomas Jefferson University Phimentioning

confidence: 99%

Dual occipital and supraorbital nerve stimulation for chronic migraine: a single-center experience, review of literature, and surgical considerations

Hann

Sharan²

2013

FOC

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“…13 Over the next half century the use of peripheral nerve stimulation in the treatment of intractable facial pain has become increasingly reported. 1,6,7,[9][10][11][12] Significant advances in electrode construction, generator manufacturing, and surgical technique now allow for the permanent implantation of trigeminal branch electrodes by using minimally invasive methods. However, because very few practitioners routinely perform this procedure, the literature consists mainly of case reports and small case series.…”

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confidence: 99%

Trigeminal branch stimulation for the treatment of intractable craniofacial pain

Ellis¹,

Munne²,

Winfree³

2015

JNS

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OBJECT Trigeminal branch stimulation has been used in the treatment of craniofacial pain syndromes. The risks and benefits of such an approach have not been clearly delineated in large studies, however. The authors report their experience in treating craniofacial pain with trigeminal branch stimulation and share the lessons they have learned after 93 consecutive electrode placements. METHODS A retrospective review of all patients who underwent trigeminal branch electrode placement by the senior author (C.J.W.) for the treatment of craniofacial pain was performed. RESULTS Thirty-five patients underwent implantation of a total of 93 trial and permanent electrodes between 2006 and 2013. Fifteen patients who experienced improved pain control after trial stimulation underwent implantation of permanent stimulators and were followed for an average of 15 months. At last follow-up 73% of patients had improvement in pain control, whereas only 27% of patients had no pain improvement. No serious complications were seen during the course of this study. CONCLUSIONS Trigeminal branch stimulation is a safe and effective treatment for a subset of patients with intractable craniofacial pain.

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“…31 Increasing interest about PNS and PNFS in recent years has led to a wider use of neurostimulation to control headache and pain in the extremities and in the occipital region. 1,7,9,11,14,17,21,22,25,28 Manufacturing developments have made it possible to reduce the thickness of the electrodes, which can also be used in facial regions without any esthetic impairment. A clear differential diagnosis between TNP and PIFP versus classic trigeminal neuralgia is mandatory to assess the proper treatment plan.…”

Section: Discussionmentioning

confidence: 99%

Peripheral trigeminal nerve field stimulation

Feletti

Santi

Sammartino

et al. 2013

FOC

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Object Peripheral nerve field stimulation has been successfully used for many neuropathic syndromes. However, it has been reported as a treatment for trigeminal neuropathic pain or persistent idiopathic facial pain only in the recent years. Methods The authors present a review of the literature and their own series of 6 patients who were treated with peripheral nerve stimulation for facial neuropathic pain, reporting excellent pain relief and subsequent better social relations and quality of life. Results On average, pain scores in these patients decreased from 10 to 2.7 on the visual analog scale during a 17-month follow-up (range 0–32 months). The authors also observed the ability to decrease trigeminal pain with occipital nerve stimulation, clinically confirming the previously reported existence of a close anatomical connection between the trigeminal and occipital nerves (trigeminocervical nucleus). Conclusions Peripheral nerve field stimulation of the trigeminal and occipital nerves is a safe and effective treatment for trigeminal neuropathic pain and persistent idiopathic facial pain, when patients are strictly selected and electrodes are correctly placed under the hyperalgesia strip at the periphery of the allodynia region.

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Peripheral Nerve Stimulator for the Treatment of Supraorbital Neuralgia: A Retrospective Case Series

Cited by 74 publications

References 16 publications

Dual occipital and supraorbital nerve stimulation for chronic migraine: a single-center experience, review of literature, and surgical considerations

Dual occipital and supraorbital nerve stimulation for chronic migraine: a single-center experience, review of literature, and surgical considerations

Trigeminal branch stimulation for the treatment of intractable craniofacial pain

Peripheral trigeminal nerve field stimulation

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