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Occipital Nerve Stimulation for Head Pain: Percutaneous Leads

  • Samer N. NarouzeEmail author
Chapter

Abstract

Occipital nerve stimulation (ONS) can be achieved with either percutaneous leads or surgical leads. Most implanters consider percutaneous leads as their first choice as the implanting technique is less invasive and simpler than the surgical leads one. However, the migration rate may be higher. In this chapter, we will review the ONS safety and efficacy data as well as the advantages and limitations of various percutaneous lead implant techniques.

Keywords

Chronic Migraine Lead Placement Cervicogenic Headache Hemicrania Continuum Great Occipital Nerve 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Weiner RL, Reed KL. Peripheral neurostimulation for control of intractable occipital neuralgia. Neuromodulation. 1999;2:217–21.PubMedCrossRefGoogle Scholar
  2. 2.
    Kapural L, Mekhail N, Hayek SM, Stanton-Hicks M, Malak O. Occipital nerve electrical stimulation via the midline approach and subcutaneous surgical leads for treatment of severe occipital neuralgia: a pilot study. Anesth Analg. 2005;101:171–4.PubMedCrossRefGoogle Scholar
  3. 3.
    Johnstone CHS, Sundaraj R. Occipital nerve stimulation for the treatment of occipital neuralgia-eight case studies. Neuromodulation. 2006;9:41–7.PubMedCrossRefGoogle Scholar
  4. 4.
    Oh MY, Ortega J, Bellotte JB, Whiting DM, Alo K. Peripheral nerve stimulation for the treatment of occipital neuralgia and transformed migraine using a C1-2-3 subcutaneous paddle style electrode: a technical report. Neuromodulation. 2004;7:103–12.PubMedCrossRefGoogle Scholar
  5. 5.
    Schwedt TJ, Dodick DW, Hentz J, Trentman TL, Zimmerman RS. Occipital nerve stimulation for chronic headache-long-term safety and efficacy. Cephalalgia. 2007;27:153–7.PubMedCrossRefGoogle Scholar
  6. 6.
    Schwedt TJ, Dodick DW, Trentman TL, Zimmerman RS. Occipital nerve stimulation for chronic cluster headache and hemicrania continua: pain relief and persistence of autonomic features. Cephalalgia. 2006;26:1025–7.PubMedCrossRefGoogle Scholar
  7. 7.
    Burns B, Watkins L, Goadsby PJ. Treatment of medically intractable cluster headache by occipital nerve stimulation: long-term follow-up of eight patients. Lancet. 2007;369:1099–106.PubMedCrossRefGoogle Scholar
  8. 8.
    Burns B, Watkins L, Goadsby PJ. Treatment of intractable chronic cluster headache by occipital nerve stimulation in 14 patients. Neurology. 2009;72:341–5.PubMedCrossRefGoogle Scholar
  9. 9.
    Magis D, Allena M, Bolla M, De Pasqua V, Remacle JM, Schoenen J. Occipital nerve stimulation for drug-resistant chronic cluster headache: a prospective pilot study. Lancet Neurol. 2007;6:314–21.PubMedCrossRefGoogle Scholar
  10. 10.
    Burns B, Watkins L, Goadsby PJ. Treatment of hemicrania continua by occipital nerve stimulation with a bion device: long-term follow-up of a crossover study. Lancet Neurol. 2008;7:1001–12.PubMedCrossRefGoogle Scholar
  11. 11.
    Rodrigo-Royo MD, Azcona JM, Quero J, Lorente MC, Acín P, Azcona J. Peripheral neurostimulation in the management of cervicogenic headache: four case reports. Neuromodulation. 2005;8:241–8.PubMedCrossRefGoogle Scholar
  12. 12.
    Melvin Jr EA, Jordan FR, Weiner RL, Primm D. Using peripheral stimulation to reduce the pain of C2-mediated occipital headaches: a preliminary report. Pain Physician. 2007;10:453–60.PubMedGoogle Scholar
  13. 13.
    Ghaemi K, Capelle HH, Kinfe TM, Krauss JK. Occipital nerve stimulation for refractory occipital pain after occipitocervical fusion: expanding indications. Stereotact Funct Neurosurg. 2008;86:391–3.PubMedCrossRefGoogle Scholar
  14. 14.
    Goadsby PJ, Bartsch T, Dodick D. Occipital nerve stimulation for headache: mechanisms and efficacy. Headache. 2008;48:313–8.PubMedCrossRefGoogle Scholar
  15. 15.
    Matharu MS, Bartsch T, Ward N, et al. Central neuromodulation in chronic migraine patients with suboccipital stimulation: a PET study. Brain. 2004;127:120–30.CrossRefGoogle Scholar
  16. 16.
    Saper JR, Dodick DW, Silberstein SD, McCarville S, Sun M, Goadsby PJ. Occipital nerve stimulation for the treatment of intractable chronic migraine headache: ONSTIM feasibility study. Cephalalgia. 2011;31(3):271–85.PubMedCentralPubMedCrossRefGoogle Scholar
  17. 17.
    Silberstein SD, Dodick DW, Saper J, et al. Safety and efficacy of peripheral nerve stimulation of the occipital nerves for the management of chronic migraine: results from a randomized, multicenter, double blinded, controlled study. Cephalalgia. 2012;32:1165–79.PubMedCrossRefGoogle Scholar
  18. 18.
    Serra G, Marchioretto F. Occipital nerve stimulation for chronic migraine: a randomized trial. Pain Physician. 2012;15:245–53.PubMedGoogle Scholar
  19. 19.
    Goadsby PJ. Analysis of occipital nerve stimulation in studies of chronic migraine and broader implications of social media in clinical trials. Cephalalgia. 2013;33:214–5.PubMedCrossRefGoogle Scholar
  20. 20.
    Hammer M, Doleys DM. Perineuromal stimulation in the treatment of occipital neuralgia: a case study. Neuromodulation. 2001;4:47–51.PubMedCrossRefGoogle Scholar
  21. 21.
    Slavin KV, Nersesyan H, Wess C. Peripheral neurostimulation for treatment of intractable occipital neuralgia. Neurosurgery. 2006;58:112–9.PubMedCrossRefGoogle Scholar
  22. 22.
    Popeney CA, Alo KM. Peripheral neurostimulation for the treatment of chronic, disabling transformed migraine. Headache. 2003;43:369–75.PubMedCrossRefGoogle Scholar
  23. 23.
    Hayek SM, Jasper J, Deer TR, Narouze S. Occipital neurostimulation-induced muscle spasms: implications for lead placement. Pain Physician. 2009;12(5):867–76.PubMedGoogle Scholar
  24. 24.
    Narouze S. Ultrasonography in pain medicine: future directions. Tech Reg Anesth Pain Manage. 2009;13(3):198–202.CrossRefGoogle Scholar
  25. 25.
    Narouze S, Saad R, Nagem H, Kapural L. Occipital nerve stimulation with self-anchoring leads for the management of refractory chronic migraine headache (abstract). Pain Med. 2009;10:221.Google Scholar
  26. 26.
    Trentman TL, Zimmerman RS. Occipital nerve stimulation: technical and surgical aspects of implantation. Headache. 2008;48:319–27.PubMedCrossRefGoogle Scholar
  27. 27.
    Jasper JF, Hayek SM. Implanted occipital nerve stimulators. Pain Physician. 2008;11:187–200.PubMedGoogle Scholar
  28. 28.
    Trentman TL, Dodick DW, Zimmerman RS, Birch BD. Percutaneous occipital stimulator lead tip erosion: report of 2 cases. Pain Physician. 2008;11:253–6.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Center for Pain Medicine, Western Reserve HospitalCuyahoga FallsUSA

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