经皮枕神经电刺激治疗颅内血管内介入术后难治性头痛。
Treatment of refractory headache secondary to intracranial endovascular procedure by transcutaneous electrical nerve stimulation of the occipital nerve.
机构信息
UIC 22/CAT2 and laboratoire de Thérapeutique (EA3826), Multidisciplinary Pain, Palliative and Supportive care Center, university hospital, CHU de Nord-Laënnec, 44093 Nantes cedex 1, France; Multidisciplinary Pain Center, groupe ELSAN, clinique Brétéché, 44000 Nantes, France; Neurosurgical department, university hospital, 44093 Nantes, France.
UIC 22/CAT2 and laboratoire de Thérapeutique (EA3826), Multidisciplinary Pain, Palliative and Supportive care Center, university hospital, CHU de Nord-Laënnec, 44093 Nantes cedex 1, France; Multidisciplinary Pain Center, groupe ELSAN, clinique Brétéché, 44000 Nantes, France.
出版信息
Neurophysiol Clin. 2018 Oct;48(5):309-312. doi: 10.1016/j.neucli.2018.05.041. Epub 2018 Jun 15.
This pilot study aimed at assessing the effect of transcutaneous electrical nerve stimulation (TENS) of the occipital nerve (ON) to treat chronic refractory headache secondary to intracranial endovascular procedures (iEVP) in 4 patients. The duration of ON-TENS therapy was only 1 month (n=2) or longer than 4 months (n=2). Overall, pain intensity decreased from 7.8 (on a 0-10 scale) at baseline to 0.8 at 6 months after ON-TENS therapy initiation (-90%), while drug treatment was reduced from 34.3 to 0.8 (-98%) on the medication quantification scale. ON-TENS is a simple technique that may benefit patients with post-iEVP refractory headache.
本初步研究旨在评估经颅电刺激（TENS）枕神经（ON）治疗颅内血管内操作（iEVP）后慢性难治性头痛的效果，该研究共纳入 4 名患者。ON-TENS 治疗的持续时间仅为 1 个月（n=2）或超过 4 个月（n=2）。总体而言，疼痛强度从基线时的 7.8（0-10 分）下降至 ON-TENS 治疗开始后 6 个月时的 0.8（-90%），而药物治疗从药物量化量表的 34.3 降至 0.8（-98%）。ON-TENS 是一种简单的技术，可能对 iEVP 后难治性头痛患者有益。
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