Bünger F, Feierabend D, Storch P, Kalff R, Reichart R
Klinik und Poliklinik für Neurochirurgie, Universitätsklinikum Jena, Am Klinikum 1, 07747, Jena, Deutschland.
Mitteldeutsches Kopfschmerzzentrum Jena, Klinik für Neurologie, Universitätsklinikum Jena, Jena, Deutschland.
Schmerz. 2018 Apr;32(2):121-127. doi: 10.1007/s00482-018-0268-8.
Subcutaneous peripheral nerve field stimulation (sPNFS) is an established procedure for the treatment of chronic localized neuropathic pain of peripheral origin. The treatment of nummular headache primarily focuses on conservative methods with limited prospects of success. The role of sPNFS in the treatment of nummular headache has not been investigated as yet.
Is the sPNFS an option in the management of nummular headache?
In addition to a summary of established methods in the treatment of nummular headache, sPNFS as a possible form of therapy is discussed.
A positive effect of sPNFS in terms of the treatment of nummular headache is shown.
sPNFS stimulates free subcutaneous nerves and transmits a pleasant form of paraesthesia in the area of pain. If regular conservative therapy has already been exhausted, then sPNFS might be an effective new option in the treatment of nummular headache. sPNFS is a minimally invasive and low-risk procedure. However, the high treatment cost and restrictions regarding fitness to undergo MRI are points of criticism. Further studies are needed to define its potential and role in the treatment of nummular headache.
皮下周围神经场刺激（sPNFS）是一种治疗外周源性慢性局限性神经性疼痛的既定方法。钱币状头痛的治疗主要集中在保守方法上，成功前景有限。sPNFS在钱币状头痛治疗中的作用尚未得到研究。
sPNFS是否是治疗钱币状头痛的一种选择？
除了总结钱币状头痛治疗的既定方法外，还讨论了sPNFS作为一种可能的治疗形式。
显示sPNFS在治疗钱币状头痛方面有积极效果。
sPNFS刺激皮下游离神经，并在疼痛区域传递一种令人愉悦的感觉异常形式。如果常规保守治疗已经用尽，那么sPNFS可能是治疗钱币状头痛的一种有效的新选择。sPNFS是一种微创且低风险的手术。然而，高昂的治疗成本和关于进行MRI的健康适应性限制是受到批评的要点。需要进一步研究来确定其在钱币状头痛治疗中的潜力和作用。
