Treatment of refractory headache secondary to intracranial endovascular procedure by transcutaneous electrical nerve stimulation of the occipital nerve.

Autor: Nguyen JP; UIC 22/CAT2 and laboratoire de Thérapeutique (EA3826), Multidisciplinary Pain, Palliative and Supportive care Center, university hospital, CHU de Nord-Laënnec, 44093 Nantes cedex 1, France; Multidisciplinary Pain Center, groupe ELSAN, clinique Brétéché, 44000 Nantes, France; Neurosurgical department, university hospital, 44093 Nantes, France., Raoul S; UIC 22/CAT2 and laboratoire de Thérapeutique (EA3826), Multidisciplinary Pain, Palliative and Supportive care Center, university hospital, CHU de Nord-Laënnec, 44093 Nantes cedex 1, France; Multidisciplinary Pain Center, groupe ELSAN, clinique Brétéché, 44000 Nantes, France., Desal H; Neuroradiological department, university hospital, 44093 Nantes, France., Bourcier R; Neuroradiological department, university hospital, 44093 Nantes, France., Kuhn E; UIC 22/CAT2 and laboratoire de Thérapeutique (EA3826), Multidisciplinary Pain, Palliative and Supportive care Center, university hospital, CHU de Nord-Laënnec, 44093 Nantes cedex 1, France., Dixneuf V; Multidisciplinary Pain Center, groupe ELSAN, clinique Brétéché, 44000 Nantes, France., Damier P; Neurology department, Inserm U923, university hospital, 44093 Nantes, France., Lefaucheur JP; Clinical neurophysiology department, faculty of medicine, UPEC, Henri Mondor University Hospital, EA4391, 94010 Créteil, France., Nizard J; UIC 22/CAT2 and laboratoire de Thérapeutique (EA3826), Multidisciplinary Pain, Palliative and Supportive care Center, university hospital, CHU de Nord-Laënnec, 44093 Nantes cedex 1, France. Electronic address: julien.nizard@univ-nantes.fr.
Jazyk: angličtina
Zdroj: Neurophysiologie clinique = Clinical neurophysiology [Neurophysiol Clin] 2018 Oct; Vol. 48 (5), pp. 309-312. Date of Electronic Publication: 2018 Jun 15.
DOI: 10.1016/j.neucli.2018.05.041
Abstrakt: This pilot study aimed at assessing the effect of transcutaneous electrical nerve stimulation (TENS) of the occipital nerve (ON) to treat chronic refractory headache secondary to intracranial endovascular procedures (iEVP) in 4 patients. The duration of ON-TENS therapy was only 1 month (n=2) or longer than 4 months (n=2). Overall, pain intensity decreased from 7.8 (on a 0-10 scale) at baseline to 0.8 at 6 months after ON-TENS therapy initiation (-90%), while drug treatment was reduced from 34.3 to 0.8 (-98%) on the medication quantification scale. ON-TENS is a simple technique that may benefit patients with post-iEVP refractory headache.
(Copyright © 2018 Elsevier Masson SAS. All rights reserved.)
Databáze: MEDLINE
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