外周神经刺激治疗难治性丛集性头痛的长期随访：病例报告。
Peripheral neurostimulation for the treatment of refractory cluster headache, long-term follow-up: case report.
机构信息
Department of Neurosurgery, Cushing Neuroscience Institutes, Hofstra University School of Medicine and North Shore University Hospital, Manhasset, New York, USA.
出版信息
Neuromodulation. 2011 Sep-Oct;14(5):432-5; discussion 435. doi: 10.1111/j.1525-1403.2011.00386.x. Epub 2011 Aug 19.
INTRODUCTION
Cluster headache is a headache syndrome characterized by periodic episodes of intense headache with spontaneous remission. There are recent reports utilizing occipital nerve stimulation for the successful management of medically refractory cases of cluster headache.
METHODS
The case of an 18-year-old boy with chronic, refractory, recurrent cluster headaches is presented. He was treated surgically with combined occipital, supraorbital, and infraorbital nerve stimulation.
RESULTS
Prior to operation, the patient suffered three to four episodes of cluster headache per day, for four years. After implantation of occipital, supraorbital, and infraorbital nerve stimulators, the patient averages at most three to four headaches per month, at 36-month follow-up.
CONCLUSION
Peripheral neurostimulation is safe and efficacious in the management of chronic, medically refractory cluster headache syndrome. The efficacy of treatment was found to be persistent after three years.
简介
丛集性头痛是一种头痛综合征，其特征是周期性的剧烈头痛，伴有自发性缓解。最近有报道称，使用枕神经刺激成功治疗了药物难治性丛集性头痛病例。
方法
介绍了一例 18 岁男孩患有慢性、难治性、复发性丛集性头痛的病例。他接受了枕神经、眶上神经和眶下神经联合刺激的手术治疗。
结果
手术前，患者在四年中每天发作三到四次丛集性头痛。植入枕神经、眶上神经和眶下神经刺激器后，在 36 个月的随访中，患者每月平均最多发作三到四次头痛。
结论
外周神经刺激在治疗慢性、药物难治性丛集性头痛综合征方面是安全有效的。治疗效果在三年后仍持续存在。
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