Abstract
Objectives: To describe use of bilateral temporal and occipital stimulator leads for a refractory headache disorder. Materials and methods: A 31-year-old female had a 10-year history of chronic, severe occipital and temporal region headaches. The patient underwent permanent implant of an occipital stimulator system that resulted in sustained, compete resolution of her occipital pain. However, she continued to suffer disabling (10/10) temporal region headaches and was bedbound most days of the week. Therefore, bilateral temporal stimulator leads were implanted and tunneled to her internal pulse generator. Results: At 12-month follow-up, the patient enjoyed sustained improvement in her pain scores (8/10) and marked increase in her level of functioning. Taking into account increased activity level, she rated her overall improvement at 50%. Unfortunately, infection and erosion of her right temporal lead necessitated temporal stimulator removal. Conclusion: Headache disorders may require stimulation of all painful cephalic regions. However, our success in this case must be considered in light of the technical challenges and expense of placing stimulator leads subcutaneously around the head and neck, including the risk of infection, lead breakage, erosion, and migration.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 55-59 |
| Number of pages | 5 |
| Journal | Medical Devices: Evidence and Research |
| Volume | 7 |
| Issue number | 1 |
| DOIs | |
| State | Published - Mar 25 2014 |
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Keywords
- Cluster headache
- Headache
- Migraine
- Occipital nerve stimulation
- Peripheral nerve stimulation
ASJC Scopus subject areas
- Biomedical Engineering
- Medicine (miscellaneous)
Cite this
Refractory headaches treated with bilateral occipital and temporal region stimulation. / Zach, Kelly J.; Trentman, Terrence L.; Szimmerman, Richard S.; Dodick, David William.
In: Medical Devices: Evidence and Research, Vol. 7, No. 1, 25.03.2014, p. 55-59.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Refractory headaches treated with bilateral occipital and temporal region stimulation
AU - Zach, Kelly J.
AU - Trentman, Terrence L.
AU - Szimmerman, Richard S.
AU - Dodick, David William
PY - 2014/3/25
Y1 - 2014/3/25
N2 - Objectives: To describe use of bilateral temporal and occipital stimulator leads for a refractory headache disorder. Materials and methods: A 31-year-old female had a 10-year history of chronic, severe occipital and temporal region headaches. The patient underwent permanent implant of an occipital stimulator system that resulted in sustained, compete resolution of her occipital pain. However, she continued to suffer disabling (10/10) temporal region headaches and was bedbound most days of the week. Therefore, bilateral temporal stimulator leads were implanted and tunneled to her internal pulse generator. Results: At 12-month follow-up, the patient enjoyed sustained improvement in her pain scores (8/10) and marked increase in her level of functioning. Taking into account increased activity level, she rated her overall improvement at 50%. Unfortunately, infection and erosion of her right temporal lead necessitated temporal stimulator removal. Conclusion: Headache disorders may require stimulation of all painful cephalic regions. However, our success in this case must be considered in light of the technical challenges and expense of placing stimulator leads subcutaneously around the head and neck, including the risk of infection, lead breakage, erosion, and migration.
AB - Objectives: To describe use of bilateral temporal and occipital stimulator leads for a refractory headache disorder. Materials and methods: A 31-year-old female had a 10-year history of chronic, severe occipital and temporal region headaches. The patient underwent permanent implant of an occipital stimulator system that resulted in sustained, compete resolution of her occipital pain. However, she continued to suffer disabling (10/10) temporal region headaches and was bedbound most days of the week. Therefore, bilateral temporal stimulator leads were implanted and tunneled to her internal pulse generator. Results: At 12-month follow-up, the patient enjoyed sustained improvement in her pain scores (8/10) and marked increase in her level of functioning. Taking into account increased activity level, she rated her overall improvement at 50%. Unfortunately, infection and erosion of her right temporal lead necessitated temporal stimulator removal. Conclusion: Headache disorders may require stimulation of all painful cephalic regions. However, our success in this case must be considered in light of the technical challenges and expense of placing stimulator leads subcutaneously around the head and neck, including the risk of infection, lead breakage, erosion, and migration.
KW - Cluster headache
KW - Headache
KW - Migraine
KW - Occipital nerve stimulation
KW - Peripheral nerve stimulation
UR - http://www.scopus.com/inward/record.url?scp=84897373706&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84897373706&partnerID=8YFLogxK
U2 - 10.2147/MDER.S59719
DO - 10.2147/MDER.S59719
M3 - Article
AN - SCOPUS:84897373706
VL - 7
SP - 55
EP - 59
JO - Medical Devices: Evidence and Research
JF - Medical Devices: Evidence and Research
SN - 1179-1470
IS - 1
ER -