Refractory Chronic Migraine: Therapy with Combined Peripheral Neurostimulation

Author(s):  
Roberto Arcioni ◽  
Paolo Martelletti
Author(s):  
Eric S. Schwenk ◽  
Marc C. Torjman ◽  
Ruin Moaddel ◽  
Jacqueline Lovett ◽  
Daniel Katz ◽  
...  

2021 ◽  
Vol 429 ◽  
pp. 119260
Author(s):  
Fabrizio Scotto Di Clemente ◽  
Alessandro Tessitore ◽  
Marcello Silvestro ◽  
Giorgia Battista ◽  
Gioacchino Tedeschi ◽  
...  

2012 ◽  
Vol 17 (3) ◽  
pp. 393-406 ◽  
Author(s):  
Luana Lionetto ◽  
Andrea Negro ◽  
Stefano Palmisani ◽  
Giovanna Gentile ◽  
Maria Rosaria Del Fiore ◽  
...  

2019 ◽  
pp. 157-162
Author(s):  
Cletus Cheyuo ◽  
Roy S. Hwang ◽  
Julie G. Pilitsis

Chronic migraine remains disabling for a significant proportion of the population and challenging for medical providers. In addition to pharmacological treatment, peripheral nerve stimulation has been shown to provide satisfactory pain relief and improved quality of life. In this chapter, an illustrative case of occipital nerve stimulation (ONS) for refractory chronic migraine is presented, including the preoperative assessment and planning, decision making process, detailed surgical technique, aftercare and follow-up. A complication and its management are also described and discussed in detail and supplemented with clinical pearls. This discussion is accompanied by a review of the relevant evidence and outcomes from the literature.


Cephalalgia ◽  
2016 ◽  
Vol 36 (11) ◽  
pp. 1048-1056 ◽  
Author(s):  
Alycia F Tipton ◽  
Igal Tarash ◽  
Brenna McGuire ◽  
Andrew Charles ◽  
Amynah A Pradhan

Background The development of novel migraine therapies has been slow, in part because of the small number of clinically relevant animal models. We have recently developed a new mouse model of chronic migraine using chronic intermittent nitroglycerin, a known human migraine trigger. The objective of this study was to validate this model by testing known and potential migraine-preventive treatments. Methods Migraine therapies were administered to male and female mice for 11 days. On day 3, mice were tested with nitroglycerin every second day for nine days. Basal and nitroglycerin-evoked mechanical hypersensitivity was evaluated using von Frey filaments. Results Chronic intermittent nitroglycerin produced acute hyperalgesia with each administration, and progressive and sustained basal hypersensitivity. The established preventive migraine therapy propranolol effectively blocked the development of acute and chronic nitroglycerin-induced hyperalgesia, while valproate had no effect. Potential migraine-preventive therapies were also tested: Amiloride inhibited nitroglycerin-induced acute and chronic hyperalgesia; while memantine was ineffective. We also tested the acute migraine therapy sumatriptan, which did not alter nitroglycerin-induced hyperalgesia, but instead resulted in acute and chronic hyperalgesia similar to that observed following nitroglycerin administration. Conclusions This study establishes the chronic nitroglycerin model as an additional screening tool to test novel migraine-preventive therapies.


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