University of Glasgow, Glasgow, UK.
Curr Pain Headache Rep. 2014 Feb;18(2):392. doi: 10.1007/s11916-013-0392-1.
Intractable chronic headaches are a major challenge for both patients and healthcare professionals. Over the last two decades, implantable electrical neuromodulators, previously established to manage other forms of chronic pain, have been used increasingly for intractable primary and secondary headache disorders. We review the current approaches to the management of refractory headaches using neuromodulation. Indications, operative considerations and complications are discussed based on our experience and a review of the literature. The field of neuromodulation has been rapidly advancing, with many new targets being discovered and novel devices being developed for treating craniofacial pain. We discuss some of these targets, detailing the latest advances in the area of neuromodulation for intractable headaches.
难治性慢性头痛是患者和医疗保健专业人员面临的主要挑战。在过去的二十年中，先前用于治疗其他形式慢性疼痛的可植入电神经调节器越来越多地用于治疗难治性原发性和继发性头痛疾病。我们回顾了使用神经调节治疗难治性头痛的当前方法。根据我们的经验和文献复习，讨论了适应证、手术注意事项和并发症。神经调节领域发展迅速，许多新的靶点被发现，用于治疗颅面疼痛的新型设备也在不断开发。我们讨论了其中的一些靶点，详细介绍了在难治性头痛的神经调节领域的最新进展。
