Norton Neuroscience Institute, Louisville, KY, USA.
Curr Pain Headache Rep. 2020 Nov 12;24(12):75. doi: 10.1007/s11916-020-00909-0.
Migraine is a common disorder which in many cases can be adequately treated with medications. However, there are some patients who may either not respond to medications or have contraindications to their use. In this review, we will evaluate the available literature on the interventional procedures available to treat patients with episodic migraine. We will review the technical details of performing the procedures, the potential mechanisms of action, and available data on their effectiveness.
Recent studies conducted on the subject of interventional procedures including peripheral nerve blocks and onabotulinumtoxinA indicate that some patients with episodic migraine may find benefit from such procedures. In patients with episodic migraine whom traditional treatments have not been effective or are contraindicated, interventional procedures may offer an opportunity to provide additional treatment options.
偏头痛是一种常见疾病,在许多情况下,药物治疗可以有效缓解症状。然而,有些患者可能对药物治疗反应不佳或存在用药禁忌。在本次综述中,我们将评估现有的干预性治疗偏头痛发作的文献,包括技术细节、潜在作用机制和有效性数据。
最近的研究结果表明,外周神经阻滞和肉毒毒素 A 等干预性治疗偏头痛的疗效在一定程度上优于传统治疗,为偏头痛患者提供了更多的治疗选择。