| Autor: |
Cristian, de Quintana-Schmidt, Edgar, Casajuana-Garreta, Joan, Molet-Teixidó, Marcel, García-Bach, Carles, Roig, Pablo, Clavel-Laria, Rodrigo, Rodríguez-Rodríguez, Bartolomé, Oliver-Abadal, Frederic, Bartumeus-Jené |
| Rok vydání: |
2010 |
| Předmět: |
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| Zdroj: |
Revista de neurologia. 51(1) |
| ISSN: |
1576-6578 |
| Popis: |
To evaluate the occipital nerve stimulation therapy in as a treatment for drug-resistant cluster headache.Prospective study of four patients, three males and one female. Mean age of 42 years. Patients complained of a cluster headache lasting between one and 16 years, with suboptimal control of the attacks with medication. In all cases octopolar electrodes were placed percutaneously in the occipital region bilaterally. Follow-up of 6 months.At 6 months, there was a 56% (range: 25-95%) reduction in the frequency, a 48.8% (range: 20-60%) decrease in the intensity and a 63.8% (range: 0-88.8%) reduction in the duration of the attacks. Worsening or progression of the illness was not observed in any case. All patients referred a 15.4% (range: 6-31.5%) improvement in their quality of life compared to their previous basal situation in SF-36. In all cases but one there was a significant reduction in the amount and dosage of medication required. Postoperative complications were not observed. All patients would recommend the procedure.Occipital nerve stimulation may be considered a safe and effective therapeutic option in the drug-resistant cluster headache. However, studies with more patients and a longer follow-up are required to evaluate the efficacy of the technique. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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