ArticleThe journal of headache and pain2013
A six year retrospective review of occipital nerve stimulation practice--controversies and challenges of an emerging technique for treating refractory headache syndromes.
Article in The journal of headache and pain, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Four Decades of Occipital Nerve Stimulation for Headache Disorders: A Systematic Review.Current pain and headache reports · 2024Pooled it
- Occipital nerve stimulation for chronic migraine--a systematic review and meta-analysis.PloS one · 2015Pooled it
- Neuromodulation of chronic headaches: position statement from the European Headache Federation.The journal of headache and pain · 2013Guideline
- Long term outcomes of occipital nerve stimulation.Frontiers in pain research (Lausanne, Switzerland) · 2023Review
- Short-Term Peripheral Nerve Stimulation Relieve Pain for Elder Herpes Zoster Ophthalmicus Patients: A Retrospective Study.Neuromodulation : journal of the International Neuromodulation Society · 2021Article
- An unusual case of lead migration in occipital nerve stimulation: A case report and literature review.Surgical neurology international · 2021Article
- Occipital Nerve Stimulation in Chronic Migraine: The Relationship Between Perceived Sensory Quality, Perceived Sensory Location, and Clinical Efficacy-A Prospective, Observational, Non-Interventional Study.Pain and therapy · 2020Article
- A Review of the Recent Findings in Minimally Invasive Treatment Options for the Management of Occipital Neuralgia.Neurology and therapy · 2020Review
- Occipital Neuralgia and Cervicogenic Headache: Diagnosis and Management.Current neurology and neuroscience reports · 2019Review
- Non-Trigeminal Nociceptive Innervation of the Posterior Dura: Implications to Occipital Headache.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2019Article
- OnabotulinumtoxinA injections in chronic migraine, targeted to sites of pericranial myofascial pain: an observational, open label, real-life cohort study.The journal of headache and pain · 2017Observational
- Inhibitory effect of high-frequency greater occipital nerve electrical stimulation on trigeminovascular nociceptive processing in rats.Journal of neural transmission (Vienna, Austria : 1996) · 2017Article
- Unilateral occipital nerve stimulation for bilateral occipital neuralgia: a case report and literature review.Journal of pain research · 2017Article
- Safety and efficacy of cervical 10 kHz spinal cord stimulation in chronic refractory primary headaches: a retrospective case series.The journal of headache and pain · 2016Article
- Long-term outcomes of occipital nerve stimulation for chronic migraine: a cohort of 53 patients.The journal of headache and pain · 2016Observational
- Invasive and Non-invasive Electrical Pericranial Nerve Stimulation for the Treatment of Chronic Primary Headaches.Current pain and headache reports · 2016Review
- Long-Term Clinical Outcome of Peripheral Nerve Stimulation for Chronic Headache and Complication Prevention.Anesthesiology and pain medicine · 2016Article
- Chronic migraine: risk factors, mechanisms and treatment.Nature reviews. Neurology · 2016Review
- Resting-state fMRI study of acute migraine treatment with kinetic oscillation stimulation in nasal cavity.NeuroImage. Clinical · 2016Article
- Concordant occipital and supraorbital neurostimulation therapy for hemiplegic migraine; initial experience; a case series.Neuromodulation : journal of the International Neuromodulation Society · 2015Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA retrospective review of patients treated with Occipital Nerve Stimulation (ONS) at two large tertiary referral centres has been audited in order to optimise future treatment pathways.
methodsPatient's medical records were retrospectively reviewed, and each patient was contacted by a trained headache expert to confirm clinical diagnosis and system efficacy. Results were compared to reported outcomes in current literature on ONS for primary headaches.
resultsTwenty-five patients underwent a trial of ONS between January 2007 and December 2012, and 23 patients went on to have permanent implantation of ONS. All 23 patients reached one-year follow/up, and 14 of them (61%) exceeded two years of follow-up. Seventeen of the 23 had refractory chronic migraine (rCM), and 3 refractory occipital neuralgia (ON). 11 of the 19 rCM patients had been referred with an incorrect headache diagnosis. Nine of the rCM patients (53%) reported 50% or more reduction in headache pain intensity and or frequency at long term follow-up (11-77 months). All 3 ON patients reported more than 50% reduction in pain intensity and/or frequency at 28-31 months. Ten (43%) subjects underwent surgical revision after an average of 11 ± 7 months from permanent implantation - in 90% of cases due to lead problems. Seven patients attended a specifically designed, multi-disciplinary, two-week pre-implant programme and showed improved scores across all measured psychological and functional parameters independent of response to subsequent ONS.
conclusionsOur retrospective review: 1) confirms the long-term ONS success rate in refractory chronic headaches, consistent with previously published studies; 2) suggests that some headaches types may respond better to ONS than others (ON vs CM); 3) calls into question the role of trial stimulation in ONS; 4) confirms the high rate of complications related to the equipment not originally designed for ONS; 5) emphasises the need for specialist multidisciplinary care in these patients.
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Registered trials
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