Korean J Anesthesiol.  2011 Apr;60(4):298-301. 10.4097/kjae.2011.60.4.298.

Occipital nerve stimulation in a patient with an intractable chronic headache: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Korea. pain@snu.ac.kr

Abstract

Occipital nerve stimulation (ONS) is a form of peripheral nerve stimulation used to treat refractory headaches. The trial of ONS was carried with the midline incision C1-2 level, inserted electrical lead subcutaneously to oblique and cephalad direction followed by trajectory of blunt dissection. We used 8 pole electrical lead to cover lesser occipital nerve, greater occipital nerve, third occipital nerve and great auricular nerve. We anchored the lead at the midline insertion site after confirming the stimulation of the patient. And then we looped and tightened the lead loosely, connected the lead and the extension under right supraspinatus muscle region. After 1 week trial period, we performed the permanent implantation of occipital nerve stimulator. We inserted internal pulse generator under a pocket located at right infraclavicular region. The VAS score dropped from 8/10 to 1-2/10. No serious complications were detected during 1 month follow-up.

Keyword

Headache; Occipital nerve stimulation; Occipital neuralgia; Peripheral nerve stimulation

MeSH Terms

Follow-Up Studies
Headache
Humans
Muscles
Peripheral Nerves

Cited by  1 articles

Spinal Cauda Equina Stimulation for Alternative Location of Spinal Cord Stimulation in Intractable Phantom Limb Pain Syndrome: A Case Report
Pil Moo Lee, Yun So, Jung Min Park, Chul Min Park, Hae Kyoung Kim, Jae Hun Kim
Korean J Pain. 2016;29(2):123-128.    doi: 10.3344/kjp.2016.29.2.123.

Full Text Links
  • KJAE
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr