Occipital nerve stimulation in a patient with an intractable chronic headache -A case report-
Occipital nerve stimulation (ONS) is a form of peripheral nerve stimulation used to treat refractory headaches. The trial of ONS was carried with the midline incision C1-2 level, inserted electrical lead subcutaneously to oblique and cephalad direction followed by trajectory of blunt dissection. We...
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doaj-89ba8d63ab2749f6b833b96a2dfe32b92020-11-25T03:53:17ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632011-04-0160429830110.4097/kjae.2011.60.4.2987111Occipital nerve stimulation in a patient with an intractable chronic headache -A case report-Jae Hyuck Shin0Yong Chul Kim1In Ki Jang2Jae-Hun Kim3Soo Young Park4Sang Chul Lee5Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Korea.Occipital nerve stimulation (ONS) is a form of peripheral nerve stimulation used to treat refractory headaches. The trial of ONS was carried with the midline incision C1-2 level, inserted electrical lead subcutaneously to oblique and cephalad direction followed by trajectory of blunt dissection. We used 8 pole electrical lead to cover lesser occipital nerve, greater occipital nerve, third occipital nerve and great auricular nerve. We anchored the lead at the midline insertion site after confirming the stimulation of the patient. And then we looped and tightened the lead loosely, connected the lead and the extension under right supraspinatus muscle region. After 1 week trial period, we performed the permanent implantation of occipital nerve stimulator. We inserted internal pulse generator under a pocket located at right infraclavicular region. The VAS score dropped from 8/10 to 1-2/10. No serious complications were detected during 1 month follow-up.http://ekja.org/upload/pdf/kjae-60-298.pdfheadacheoccipital nerve stimulationoccipital neuralgiaperipheral nerve stimulation |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jae Hyuck Shin Yong Chul Kim In Ki Jang Jae-Hun Kim Soo Young Park Sang Chul Lee |
spellingShingle |
Jae Hyuck Shin Yong Chul Kim In Ki Jang Jae-Hun Kim Soo Young Park Sang Chul Lee Occipital nerve stimulation in a patient with an intractable chronic headache -A case report- Korean Journal of Anesthesiology headache occipital nerve stimulation occipital neuralgia peripheral nerve stimulation |
author_facet |
Jae Hyuck Shin Yong Chul Kim In Ki Jang Jae-Hun Kim Soo Young Park Sang Chul Lee |
author_sort |
Jae Hyuck Shin |
title |
Occipital nerve stimulation in a patient with an intractable chronic headache -A case report- |
title_short |
Occipital nerve stimulation in a patient with an intractable chronic headache -A case report- |
title_full |
Occipital nerve stimulation in a patient with an intractable chronic headache -A case report- |
title_fullStr |
Occipital nerve stimulation in a patient with an intractable chronic headache -A case report- |
title_full_unstemmed |
Occipital nerve stimulation in a patient with an intractable chronic headache -A case report- |
title_sort |
occipital nerve stimulation in a patient with an intractable chronic headache -a case report- |
publisher |
Korean Society of Anesthesiologists |
series |
Korean Journal of Anesthesiology |
issn |
2005-6419 2005-7563 |
publishDate |
2011-04-01 |
description |
Occipital nerve stimulation (ONS) is a form of peripheral nerve stimulation used to treat refractory headaches. The trial of ONS was carried with the midline incision C1-2 level, inserted electrical lead subcutaneously to oblique and cephalad direction followed by trajectory of blunt dissection. We used 8 pole electrical lead to cover lesser occipital nerve, greater occipital nerve, third occipital nerve and great auricular nerve. We anchored the lead at the midline insertion site after confirming the stimulation of the patient. And then we looped and tightened the lead loosely, connected the lead and the extension under right supraspinatus muscle region. After 1 week trial period, we performed the permanent implantation of occipital nerve stimulator. We inserted internal pulse generator under a pocket located at right infraclavicular region. The VAS score dropped from 8/10 to 1-2/10. No serious complications were detected during 1 month follow-up. |
topic |
headache occipital nerve stimulation occipital neuralgia peripheral nerve stimulation |
url |
http://ekja.org/upload/pdf/kjae-60-298.pdf |
work_keys_str_mv |
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