脊髓刺激在治疗顽固性头痛疾病中的应用。

Use of spinal cord stimulation in treatment of intractable headache diseases.

机构信息

Department of Anesthesiology, University of California San Diego Health, San Diego, CA 92037, United States.

School of Medicine, University of California, San Diego, La Jolla, CA, United States.

出版信息

Pain Med. 2023 Oct 13;24(Supplement_2):S6-S10. doi: 10.1093/pm/pnad090.

DOI:10.1093/pm/pnad090

PMID:37833045

Abstract

Headache diseases remain one of the leading causes of disability in the world. With the development of neuromodulation strategies, high cervical spinal cord stimulation (hcSCS) targeting the trigeminocervical complex has been deployed to treat refractory headache diseases. In this article, we review the proposed mechanism behind hcSCS stimulation, and the various studies that have been described for the successful use of this treatment strategy in patients with chronic migraine, cluster headache, and other trigeminal autonomic cephalalgias.

摘要

头痛疾病仍然是世界范围内导致残疾的主要原因之一。随着神经调节策略的发展，针对三叉颈复合体的高颈段脊髓刺激（hcSCS）已被用于治疗难治性头痛疾病。本文综述了 hcSCS 刺激背后的潜在机制，以及描述了该治疗策略在慢性偏头痛、丛集性头痛和其他三叉自主神经性头痛患者中成功应用的各种研究。