PDF(Pubmed)
Abstract：
Aim: To describe the successful treatment of atypical occipital neuralgia (ON) using a unilateral dual-lead occipital nerve stimulator.Setting: Outpatient clinic/operating room.Patient: A 53-year-old male with atypical ON.Case description: Patient was previously diagnosed with treatment-refractory left-sided trigeminal neuralgia with atypical occipital distribution. On presentation, his symptoms were consistent with ON with distribution to the left fronto-orbital area. He received a left-sided nerve stimulator implant targeting both the greater and lesser occipital nerves.Results: Patient reported pain relief from a numerical rating scale 10/10 to 3-4/10.Conclusion: ON with referred ipsilateral trigeminal distribution should be considered when patients present with simultaneous facial and occipital pain. Further, a dual-lead unilateral stimulator approach may be a viable treatment.
Atypical, persistent inflammation to the left occipital nerve treated with a neuromodulator: a case reportAim: To describe the successful treatment of atypical headache using a one-sided nerve stimulator.Setting: Outpatient clinic/operating room.Patient: A 53-year-old male with atypical headache.Case description: Patient was previously diagnosed with left-sided chronic facial pain with pain to the back of the head. He previously failed to improve with medication and underwent Botox injections and several surgical operations targeting the nerves responsible for his pain symptoms with no improvement. He recently underwent a nerve-stimulating device trial, designed to alter the activity levels of the targeted nerve, that targeted a nerve in the back of his head. This significantly improved his pain and he ultimately presented for an official stimulator implant. Upon presentation, his symptoms were consistent with left-sided headache to the back of the head with distribution to the left eye area.Results: Patient reported significant pain relief from 10/10 to a 3-4/10, with a 10 representing the worst pain the patient has ever felt.Conclusion: Left-sided headache on the back of the head that can distribute to the left eye area should be a consistent thought for pain/headache practitioners. Further, this stimulator placement approach may be a viable treatment.
Atypical, persistent inflammation to the left occipital nerve treated with a neuromodulator: a case reportAim: To describe the successful treatment of atypical headache using a one-sided nerve stimulator.Setting: Outpatient clinic/operating room.Patient: A 53-year-old male with atypical headache.Case description: Patient was previously diagnosed with left-sided chronic facial pain with pain to the back of the head. He previously failed to improve with medication and underwent Botox injections and several surgical operations targeting the nerves responsible for his pain symptoms with no improvement. He recently underwent a nerve-stimulating device trial, designed to alter the activity levels of the targeted nerve, that targeted a nerve in the back of his head. This significantly improved his pain and he ultimately presented for an official stimulator implant. Upon presentation, his symptoms were consistent with left-sided headache to the back of the head with distribution to the left eye area.Results: Patient reported significant pain relief from 10/10 to a 3-4/10, with a 10 representing the worst pain the patient has ever felt.Conclusion: Left-sided headache on the back of the head that can distribute to the left eye area should be a consistent thought for pain/headache practitioners. Further, this stimulator placement approach may be a viable treatment.
摘要：
目的：描述使用单侧双导联枕神经刺激器成功治疗非典型枕神经痛（ON）的方法。设置：门诊/手术室。患者：一名53岁男性，患有非典型ON。病例描述：患者先前被诊断为治疗难治性左侧三叉神经痛，枕部分布不典型。在介绍时，他的症状与ON一致，分布在左额眶区。他接受了针对较大和较小枕骨神经的左侧神经刺激器植入物。结果:患者从数字评定量表10/10至3-4/10报告疼痛缓解。结论：当患者同时出现面部和枕骨疼痛时，应考虑具有同侧三叉神经分布的ON。Further,双导联单侧刺激器方法可能是一种可行的治疗方法.
非典型，用神经调质治疗的左枕神经持续性炎症：病例报告目的：描述使用单侧神经刺激器成功治疗非典型头痛的方法。设置：门诊/手术室。患者：一名53岁男性，患有非典型头痛。病例描述：患者先前被诊断为左侧慢性面部疼痛，头部后部疼痛。他以前未能通过药物改善，并接受了肉毒杆菌素注射和几次针对导致疼痛症状的神经的外科手术，但没有改善。他最近接受了神经刺激装置试验,旨在改变目标神经的活动水平，瞄准了他后脑勺的神经.这显着改善了他的疼痛，他最终提出了正式的刺激器植入物。在介绍时，他的症状与头部后部的左侧头痛一致，分布在左眼区域。结果:患者报告了从10/10到3-4/10的显著疼痛缓解,其中10代表患者曾经感觉到的最严重的疼痛。结论：头部后部的左侧头痛可以分布到左眼区域，对于疼痛/头痛从业者来说应该是一致的想法。Further,这种刺激器放置方法可能是一种可行的治疗方法。
非典型，用神经调质治疗的左枕神经持续性炎症：病例报告目的：描述使用单侧神经刺激器成功治疗非典型头痛的方法。设置：门诊/手术室。患者：一名53岁男性，患有非典型头痛。病例描述：患者先前被诊断为左侧慢性面部疼痛，头部后部疼痛。他以前未能通过药物改善，并接受了肉毒杆菌素注射和几次针对导致疼痛症状的神经的外科手术，但没有改善。他最近接受了神经刺激装置试验,旨在改变目标神经的活动水平，瞄准了他后脑勺的神经.这显着改善了他的疼痛，他最终提出了正式的刺激器植入物。在介绍时，他的症状与头部后部的左侧头痛一致，分布在左眼区域。结果:患者报告了从10/10到3-4/10的显著疼痛缓解,其中10代表患者曾经感觉到的最严重的疼痛。结论：头部后部的左侧头痛可以分布到左眼区域，对于疼痛/头痛从业者来说应该是一致的想法。Further,这种刺激器放置方法可能是一种可行的治疗方法。
