Repositioning of Supraorbital Nerve Stimulation Electrode Using Retrograde Needle Insertion: A Technical Note

Headaches (cephalgias) are a common reason for patients to seek medical care. There are groups of patients with recurrent headache and craniofacial pain presenting with malignant course of their disease that becomes refractory to pharmacotherapy and other medical management options. Neuromodulation can be a viable treatment modality for at least some of these patients. We review the available evidence related to the use of neuromodulation modalities for the treatment of medically refractory craniofacial pain of different nosology based on the International Classification of Headache Disorders, 2nd edition (ICHD-II) classification. This article also reviews the scientific rationale of neuromodulation application in management of cephalgias.

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“…[49] Technical and surgical aspects of different neuromodulation techniques are described elsewhere. [76143157161169]…”

Section: Methodsmentioning

confidence: 99%

Neuromodulation for cephalgias

Rasskazoff

Slavin²

2013

Surg Neurol Int

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“…The previous technique of insertion involved placement via an inert introducer needle, either blind or guided by imaging (9,20,21).…”

Section: To the Editormentioning

confidence: 99%

Percutaneous Peripheral Neuromodulation Lead Insertion Using a Novel Stimulating Coudé Needle

Goroszeniuk¹,

Pang

Shetty

et al. 2014

Neuromodulation: Technology at the Neural Interface

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“…Unfortunately, the superficial lead's location and the extensive wiring required by conventional PNS systems result in high complication and revision rates. According to Slavin et al . and Falowski et al., migration of leads occurred in nearly 25% of patients.…”

Section: Introductionmentioning

confidence: 99%

High‐Frequency Supraorbital Nerve Stimulation With a Novel Wireless Minimally Invasive Device for Post‐Traumatic Neuralgia: A Case Report

et al. 2019

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Background Post‐traumatic neuropathic pain in the head and face is a condition that is often refractory to medical management. Peripheral nerve stimulation (PNS) can be an effective treatment. Successful implantation of a novel minimally invasive wireless device is reported here. Objective To assess analgesic effects of a minimally invasive wireless PNS device in the treatment of post‐traumatic supraorbital neuralgia (SON). Case Summary The patient presented with SON following multiple post‐traumatic cranioplasty surgeries, which were complicated by infections. Medical and interventional management failed, and the patient reported a numeric rating scale (NRS) pain score of 8 out of 10. Two octopolar implantable neural stimulators (INSs) (StimRelieve LLC, Pompano Beach, FL, U.S.A.) were implanted with a minimally invasive, percutaneous technique to stimulate the supraorbital nerves. Stimulation parameters were set at a frequency of 10 kHz and a pulse width of 30 microseconds. Results At 12‐ and 24‐month follow‐up evaluations, the patient's NRS score was only 2 out of 10, and the patient occasionally required 1 g of paracetamol to control the pain. Stimulation was reported to be paresthesia free. There were no adverse events related to the procedure or the treatment until today. Conclusions High‐frequency stimulation with an external pulse generator and minimally invasive, percutaneous, and bilateral placement of 2 passive INSs on the supraorbital nerves resulted in a significant pain relief in this patient with post‐traumatic SON. The device was safe and effective, and the cosmesis was satisfactory.

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Repositioning of Supraorbital Nerve Stimulation Electrode Using Retrograde Needle Insertion: A Technical Note

Cited by 16 publications

References 38 publications

Neuromodulation for cephalgias

Neuromodulation for cephalgias

Percutaneous Peripheral Neuromodulation Lead Insertion Using a Novel Stimulating Coudé Needle

High‐Frequency Supraorbital Nerve Stimulation With a Novel Wireless Minimally Invasive Device for Post‐Traumatic Neuralgia: A Case Report

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