Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Korea.
Korean J Anesthesiol. 2011 Apr;60(4):298-301. doi: 10.4097/kjae.2011.60.4.298. Epub 2011 Apr 26.
Occipital nerve stimulation (ONS) is a form of peripheral nerve stimulation used to treat refractory headaches. The trial of ONS was carried with the midline incision C1-2 level, inserted electrical lead subcutaneously to oblique and cephalad direction followed by trajectory of blunt dissection. We used 8 pole electrical lead to cover lesser occipital nerve, greater occipital nerve, third occipital nerve and great auricular nerve. We anchored the lead at the midline insertion site after confirming the stimulation of the patient. And then we looped and tightened the lead loosely, connected the lead and the extension under right supraspinatus muscle region. After 1 week trial period, we performed the permanent implantation of occipital nerve stimulator. We inserted internal pulse generator under a pocket located at right infraclavicular region. The VAS score dropped from 8/10 to 1-2/10. No serious complications were detected during 1 month follow-up.
枕神经刺激术（ONS）是一种用于治疗难治性头痛的周围神经刺激方法。ONS 试验采用中线切口 C1-2 水平，将电引线皮下插入至斜向和颅侧方向，然后进行钝性解剖。我们使用 8 极电引线覆盖枕小神经、枕大神经、第三枕神经和耳大神经。在确认患者的刺激后，我们将引线固定在中线插入部位。然后，我们将引线松散地缠绕并拉紧，将引线和延长线连接到右肩胛冈下肌区域。经过 1 周的试验期后，我们进行了枕神经刺激器的永久性植入。我们将内置脉冲发生器插入位于右锁骨下区域的口袋内。VAS 评分从 8/10 降至 1-2/10。在 1 个月的随访中，未发现严重并发症。
