Plazier Mark, Vanneste Sven, Dekelver Ingrid, Thimineur Mark, De Ridder Dirk
Prog Neurol Surg. 2011;24:133-146. doi: 10.1159/000323046. Epub 2011 Mar 21.
Fibromyalgia is a condition marked by widespread chronic pain, accompanied by a variety of other symptoms, including sleep and fatigue disorders, headaches, disorders of the autonomic nervous system, as well as cognitive and psychiatric symptoms. It occurs predominantly in women and is often associated with other systemic or autoimmune diseases. Despite its serious socio economical burden, the treatment options remain poor. In this chapter, the authors discuss the possibilities of using greater occipital nerve stimulation as a treatment for fibromyalgia, based on available clinical studies. Greater occipital nerve stimulation has already been used successfully to treat occipital neuralgia and various primary headache syndromes. Testable hypothetical working mechanisms are proposed to explain the surprising effect of this treatment on widespread bodily pain.
纤维肌痛是一种以广泛的慢性疼痛为特征的病症，伴有多种其他症状，包括睡眠和疲劳障碍、头痛、自主神经系统紊乱以及认知和精神症状。它主要发生在女性中，并且常与其他全身性或自身免疫性疾病相关。尽管其社会经济负担严重，但治疗选择仍然有限。在本章中，作者根据现有临床研究讨论了使用枕大神经刺激治疗纤维肌痛的可能性。枕大神经刺激已成功用于治疗枕神经痛和各种原发性头痛综合征。文中提出了可验证的假设工作机制，以解释这种治疗对全身广泛疼痛产生的惊人效果。
