New Hope For Some Chronic Migraine Sufferers – Occipital Nerve Stim

39% of chronic migraine cases will achieve over a 50% improvement with adjustable occipital stimulation – but not with static stim

Cephalalgia. 2010 Sep 22. [Epub ahead of print]
Occipital nerve stimulation for the treatment of intractable chronic migraine headache: ONSTIM feasibility study.
Saper JR, Dodick DW, Silberstein SD, McCarville S, Sun M, Goadsby PJ.  abstract here

  • Had to have >15 migraines a month
  • Preset stim only worked 9% of time
  • Adjustable stim 39% (39% over 50% better)

Unfortunately, response to occipital nerve block does not tell who will respond:
Cephalalgia. 2007 Mar;27(3):271-4.
Response to occipital nerve block is not useful in predicting efficacy of occipital nerve stimulation.
Schwedt TJ, Dodick DW, Trentman TL, Zimmerman RS.   abstract here

Chronic migraine is a terrible disease, and though the response rates are not high, they are worth a try joyas de pandora joyas de pandora

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