Gfrerer Lisa, Guyuron Bahman
Harvard Combined Program for Plastic and Reconstructive Surgery, Harvard Medical School, Boston, MA, USA.
Cleveland, Ohio From the Department of Plastic and Reconstructive Surgery, University Hospitals Case Medical Center, Case Western Reserve School of Medicine, 29,017 Cedar Road, Cleveland (Lyndhurst), OH, 44124, USA.
Acta Neurol Belg. 2017 Mar;117(1):27-32. doi: 10.1007/s13760-016-0731-1. Epub 2016 Dec 24.
The senior author (BG) introduced the modern concept of migraine surgery in 2000. Since then, over 40 articles have been published by eight centers across the US, Europe, and Asia, describing positive outcomes after surgery in 68-95% of cases. Surgeons, neurologists, and patients are increasingly interested in this new treatment method. However, the majority of publications on this topic are found in surgical literature, with few articles presented in neurology journals. This review is an introduction to migraine surgery for neurologists from a surgeons view. It discusses the surgical treatment of migraine headaches based on the discoveries made and articles published by the senior author. It outlines the current history of migraine surgery, presents evidence supporting its effectiveness, and tries to dispel claims that what we are seeing is a placebo effect. It further describes detection of trigger sites and outlines surgical techniques of peripheral nerve decompression. We hope that this review will generate a positive discussion between surgeons and neurologists and lead to more interdisciplinary collaboration for the benefit of the patients in the future.
资深作者（BG）于2000年引入了偏头痛手术的现代概念。从那时起，美国、欧洲和亚洲的八个中心发表了40多篇文章，描述了68%至95%的病例手术后的积极结果。外科医生、神经科医生和患者对这种新的治疗方法越来越感兴趣。然而，关于这个主题的大多数出版物都出现在外科文献中，神经学杂志上发表的文章很少。这篇综述是从外科医生的角度向神经科医生介绍偏头痛手术。它基于资深作者的发现和发表的文章讨论偏头痛头痛的外科治疗。它概述了偏头痛手术的当前历史，提供了支持其有效性的证据，并试图消除认为我们所看到的是安慰剂效应的说法。它进一步描述了触发点的检测，并概述了周围神经减压的手术技术。我们希望这篇综述将在外科医生和神经科医生之间引发积极的讨论，并在未来促成更多的跨学科合作，以造福患者。
