Occipital nerve stimulation for the treatment of occipital neuralgia - Eight case studies
Occipital nerve stimulation for the treatment of occipital neuralgia - Eight case studies
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DOI：
10.1111/j.1525-1403.2006.00041.x
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发表时间：
2006-01-01
期刊：
影响因子：
2.8
通讯作者：
Sundaraj, R
中科院分区：
文献类型：
--
作者：
Johnstone, CSH;Sundaraj, R
客观的。本研究的目的是检验枕骨皮下刺激影响枕神经痛引起的疼痛的假设。材料和方法。 2001年至2004年间，有8名顽固性枕神经痛患者被转诊至我们中心。他们的记录受到审查。每个病人都通过电话接受采访。他们都接受了为期 1 周的经皮导线刺激试验。如果疼痛减轻 50%，就会植入永久性导线。通过疼痛评分、镇痛需求和就业状况来衡量枕骨刺激的影响。结果。七人继续使用永久性刺激器。七名患者中有五名植入后视觉模拟评分下降。植入后服用阿片类药物的总量显着减少。在七名进行永久性植入的人中，有两人获得了全职工作。结论。枕神经痛是治疗顽固性枕神经痛的有效且可逆的治疗方法。
Objective. The aim of this study was to examine the hypothesis that subcutaneous occipital stimulation influences pain due to occipital neuralgia.Materials and Methods. Between 2001 and 2004 eight patients with intractable occipital neuralgia were referred to our center. Their records were reviewed. Each patient was interviewed over the telephone. They were all offered a trial of stimulation using a percutaneous lead over 1 week. If they achieved 50% pain reduction a permanent lead was implanted. The impact of occipital stimulation was measured by pain score, analgesic requirements, and employment status.Results. Seven proceeded to a permanent stimulator. There was a reduction in the visual analog score postimplantation in five of the seven patients. The total quantity of opiates taken after implantation showed a marked reduction. Of the seven who had a permanent implant two acquired full-time employment.Conclusion. Occipital neuralgia is a useful and reversible treatment for intractable occipital neuralgia.