Occipital nerve stimulation (ONS). Surgical technique and prevention of late electrode migration.

Abstract

Occipital nerve stimulation (ONS) is an emerging procedure for the treatment of cranio-facial pain syndromes and headaches refractory to conservative treatments. The aim of this report is to describe in detail the surgical intervention and to introduce some useful tricks that help to avoid late displacement and migration of the suboccipital leads. The careful description of the surgical steps may contribute to a standardization of the procedure and make the interpretation of results easier even if obtained in series of patients operated on by different authors.

• Authors: Angelo Franzini, Giuseppe Messina, Massimo Leone, Giovanni Broggi
• Journal: Acta neurochirurgica (Acta Neurochir (Wien)) Vol. 151 Issue 7 Pg. 861-5; discussion 865 (Jul 2009) ISSN: 0942-0940 [Electronic] Austria
• PMID: 19430723 (Publication Type: Journal Article)

Topics

• Adult
• Cluster Headache (physiopathology, surgery)
• Electric Stimulation Therapy (instrumentation, methods)
• Electrodes, Implanted (adverse effects, standards)
• Female
• Foreign-Body Migration (etiology, physiopathology, prevention & control)
• Headache Disorders (physiopathology, surgery)
• Humans
• Male
• Middle Aged
• Migraine Disorders (physiopathology, surgery)
• Neurosurgical Procedures (instrumentation, methods)
• Occipital Bone (anatomy & histology)
• Peripheral Nerves (anatomy & histology, physiology, surgery)
• Postoperative Complications (etiology, physiopathology, prevention & control)
• Retrospective Studies
• Scalp (innervation)
• Treatment Outcome