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Neurostimulation Treatment in Chronic Cluster Headache-a Narrative Review.
- Source :
-
Current pain and headache reports [Curr Pain Headache Rep] 2021 Dec 11; Vol. 25 (12), pp. 81. Date of Electronic Publication: 2021 Dec 11. - Publication Year :
- 2021
-
Abstract
- Purpose of Review: In this narrative review, the current literature on neurostimulation methods in the treatment of chronic cluster headache is evaluated. These neurostimulation methods include deep brain stimulation, vagus nerve stimulation, greater occipital nerve stimulation, sphenopalatine ganglion stimulation, transcranial magnetic stimulation, transcranial direct current stimulation, supraorbital nerve stimulation, and cervical spinal cord stimulation.<br />Recent Findings: Altogether, only nVNS and SPG stimulation are supported by at least one positive sham-controlled clinical trial for preventive and acute attack (only SPG stimulation) treatment. Other clinical trials either did not control at all or controlled by differences in the stimulation technique itself but not by a sham-control. Case series report higher responder rates. The evidence for these neurostimulation methods in the treatment of chronic cluster headache is poor and in part contradictive. However, except deep brain stimulation, tolerability and safety of these methods are good so that in refractory situations application might be justified in individual cases.<br /> (© 2021. The Author(s).)
Details
- Language :
- English
- ISSN :
- 1534-3081
- Volume :
- 25
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Current pain and headache reports
- Publication Type :
- Academic Journal
- Accession number :
- 34894300
- Full Text :
- https://doi.org/10.1007/s11916-021-00989-6