Occipital nerve stimulator placement via a retromastoid to infraclavicular approach: A technical report

Terrence L. Trentman, Konstantin V. Slavin, John A. Freeman, Richard S. Zimmerman

Research output: Contribution to journalArticlepeer-review

28 Scopus citations

Abstract

Occipital nerve stimulation is a form of peripheral nerve stimulation used to treat refractory headache disorders. Various techniques have been described for occipital nerve stimulator implantation; these include midline cervical or retromastoid lead insertion with internal pulse generator placement in the infraclavicular, gluteal or low abdominal regions. Lead migration is one of the most common complications of occipital nerve stimulators. Implantation approaches that include remote battery sites may contribute to mechanical stress on the components, as the leads or extensions may traverse highly mobile body regions. In this technical report, we describe an occipital stimulator implantation technique that may be advantageous in terms of patient positioning, ease of surgical approach and minimization of mechanical stress on components.

Original languageEnglish (US)
Pages (from-to)121-125
Number of pages5
JournalStereotactic and Functional Neurosurgery
Volume88
Issue number2
DOIs
StatePublished - Mar 2010

Keywords

  • Infraclavicular region
  • Occipital nerve stimulator
  • Retromastoid

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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