Thomas M Kinfe 1 , Patrick Schuss 2 , Hartmut Vatter 2 Show Affiliations »
Abstract
BACKGROUND: Occipital nerve stimulation (ONS) results in beneficial outcomes, with marked pain relief, in otherwise intractable chronic migraine (CM) and chronic cluster headache (CCH). Some studies have reported that a positive response to occipital nerve block (ONB) administered prior to ONS predicts a positive response to ONS. However, other studies concerned with proper patient selection claimed no predictive value for ONB. The aim of this study was to re-evaluate the usefulness and predictive value of ONB prior to ONS. METHODS: Literature searches on the predictive value of ONB were performed in MEDLINE and PubMed. Patient data were extracted and a pooled analysis was performed. RESULTS: The literature review revealed 133 patients with CM and seven patients with CCH who received preoperative ONB. To date, a randomized controlled study examining the relationship between ONB and ONS has not been conducted in patients with CM. CONCLUSIONS: Current literature suggests that ONB does not sufficiently predict ONS responsiveness in patients with refractory CM and CCH; this important issue requires further investigation. © International Headache Society 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.
BACKGROUND: Occipital nerve stimulation (ONS ) results in beneficial outcomes, with marked pain relief, in otherwise intractable chronic migraine (CM ) and chronic cluster headache (CCH). Some studies have reported that a positive response to occipital nerve block (ONB) administered prior to ONS predicts a positive response to ONS . However, other studies concerned with proper patient selection claimed no predictive value for ONB. The aim of this study was to re-evaluate the usefulness and predictive value of ONB prior to ONS . METHODS: Literature searches on the predictive value of ONB were performed in MEDLINE and PubMed. Patient data were extracted and a pooled analysis was performed. RESULTS: The literature review revealed 133 patients with CM and seven patients with CCH who received preoperative ONB. To date, a randomized controlled study examining the relationship between ONB and ONS has not been conducted in patients with CM . CONCLUSIONS: Current literature suggests that ONB does not sufficiently predict ONS responsiveness in patients with refractory CM and CCH; this important issue requires further investigation. © International Headache Society 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.
Entities: Chemical
Disease
Species
Keywords:
Occipital nerve stimulation; chronic cluster headache; chronic migraine; intractable pain; occipital nerve block
Mesh： See more »
Year: 2014
PMID： 24989870 DOI： 10.1177/0333102414541685
Source DB: PubMed Journal: Cephalalgia ISSN： 0333-1024 Impact factor: 6.292