Evidence map›Paper›PMID 27393015›Full record

ArticleThe journal of headache and pain2016

Safety and efficacy of cervical 10 kHz spinal cord stimulation in chronic refractory primary headaches: a retrospective case series.

Giorgio Lambru, Michele Trimboli, Stefano Palmisani, Thomas Smith, Adnan Al-Kaisy

Open access · goldAbstract read
In one paragraph

Article in The journal of headache and pain, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.7field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 44 citations in OpenAlex.

  1. Review
  2. 15. Cluster Headache.Pain practice : the official journal of World Institute of Pain · 2025
    Review
  3. Review
  4. Review
  5. Review
  6. Review
  7. 10 kHz cervical SCS for chronic neck and upper limb pain: 12 months' results.Annals of clinical and translational neurology · 2019
    Article
  8. Review
  9. Spinal Cord Stimulation: Clinical Efficacy and Potential Mechanisms.Pain practice : the official journal of World Institute of Pain · 2018
    Review
  10. SUNCT and SUNA: an Update and Review.Current pain and headache reports · 2018
    Review
  11. Therapeutic Approaches for the Management of Trigeminal Autonomic Cephalalgias.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2018
    Review
  12. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Giorgio LambruThe Headache Centre, Pain Management and Neuromodulation Department, Guy's and St Thomas' NHS Foundation Trust, London, UK. giorgio.lambru@gstt.nhs.uk.
Michele TrimboliThe Headache Centre, Pain Management and Neuromodulation Department, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Stefano PalmisaniThe Headache Centre, Pain Management and Neuromodulation Department, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Thomas SmithThe Headache Centre, Pain Management and Neuromodulation Department, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Adnan Al-KaisyThe Headache Centre, Pain Management and Neuromodulation Department, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Guy's and St Thomas' NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundParesthesia-free cervical 10 kHz spinal cord stimulation (HF10 SCS) may constitute a novel treatment modality for headache disorders, when pharmacological approaches fail. We report the results of a retrospective analysis assessing the long-term safety, tolerability and efficacy of HF10 SCS in a group of patients with chronic refractory primary headache disorders.

findingsFour patients with chronic migraine (CM), two with chronic SUNA (Short-lasting Unilateral Neuralgiform headache attacks with Autonomic symptoms) and one with chronic cluster headache (CCH) refractory to medical treatments, were implanted with cervical HF10 SCS. Pre- and post-implantation data were collected from the medical notes and from headache charts. At an average follow-up of 28 months (range: 12-42 months) we observed an improvement of at least 50 % in headache frequency and/or intensity in all CM patients. One SUNA patient became pain free and the other reported at least 50 % improvement in attacks frequency an duration. The CCH patient reported a significant reduction in CH attacks duration. Two patients underwent a surgical revision due to lead migration.

conclusionsParesthesia-free high cervical HF10 SCS appears to be a long-term safe and likely effective therapeutic approach for patients with chronic refractory primary headache disorders. These results warrant further prospective studies in larger series of patients.

Indexed as

Cervical VertebraeAdultElectrodes, ImplantedFemaleFollow-Up StudiesHeadache DisordersHumansMaleMiddle AgedMigraine DisordersProspective StudiesRetrospective StudiesSpinal Cord StimulationTreatment OutcomeYoung AdultChronic migraineCluster headacheNeurostimulationRefractory headachesSpinal cord stimulationSUNA syndrome

Identifiers

PMID27393015
PMCPMC4938814
OpenAlexW2465604149

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.