Postoperative Management After Headache and Migraine Surgery
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An uncomplicated postoperative recovery begins with a thorough preoperative workup, appropriate patient selection, and management of patient expectations. Adverse outcomes after migraine surgery are minor in nature and most commonly include paresthesias, numbness, and discomfort. Major complications are rare. Surgical outcomes reported over the last two decades show consistently good outcomes with up to 90% of patients experiencing partial or complete resolution of symptoms. The more challenging patients are those who continue to experience headache pain after surgery, which often represents the unmasking of preexisting trigger sites. We recommend that patients continue to follow up with their neurologist or chronic pain specialists for tapering of medications and generally avoid narcotic medications in the postoperative period.
KeywordsPostoperative management Postoperative complications Refractory migraine headache Secondary trigger sites