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논문KCI 등재

만성 후두통을 영구적 후두신경자극기로 치료한 경험 −증례보고−

Permanent Peripheral Nerve Stimulation for Chronic Occipital Neuralgia −Case reports−

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초록

This report presents the application of occipital nerve stimulation in two patients with severe and disabling bilateral occipital neuralgia. Pain persisted despite the use of several procedures and the administration of medication in the patients. The patients underwent peripheral nerve stimulation for the treatment of headache. Peripheral nerve stimulation was accomplished via implantation of a subcutaneous electrode to stimulate the peripheral nerve in the occipital area. The patients reported a 90% improvement in overall pain. These cases illustrate the possible utilization of peripheral nerve stimulation for the treatment of occipital neuralgia. (Korean J Pain 2008; 21: 155-158)

Abstract

This report presents the application of occipital nerve stimulation in two patients with severe and disabling bilateral occipital neuralgia. Pain persisted despite the use of several procedures and the administration of medication in the patients. The patients underwent peripheral nerve stimulation for the treatment of headache. Peripheral nerve stimulation was accomplished via implantation of a subcutaneous electrode to stimulate the peripheral nerve in the occipital area. The patients reported a 90% improvement in overall pain. These cases illustrate the possible utilization of peripheral nerve stimulation for the treatment of occipital neuralgia. (Korean J Pain 2008; 21: 155-158)

참고문헌 (17)

  1. Mobbs RJ, "Peripheral nerve stimulation for the treatment of chronic pain", J Clin Neurosci, pp.216~21 (2007)
  2. Eisenberg E, "Long-term peripheral nerve stimulation for painful nerve injuries", Clin J Pain, 20, pp.143~6 (2004)
  3. Trentman TL, "Occipital nerve stimulation: technical and surgical aspects of implantation", Headache, 48, pp.319~27 (2008)
  4. Wall PD, "Temporary abolition of pain in man", Science, 155, pp.108~9 (1967)
  5. Schwedt TJ, "Occipital nerve stimulation for chronic headache- long-term safety and efficacy", Cephalalgia, 27, pp.153~7 (2007)
  6. Magis D, "Occipital nerve stimulation for drug-resistant chronic cluster headache: a prospective pilot study", Lancet Neurol, 6, pp.314~21 (2007)
  7. Burns B, "Treatment of medically intractable cluster headache by occipital nerve stimulation: long-term follow-up of eight patients", Lancet, 369, pp.1099~106 (2007)
  8. Weiner RL, "Peripheral neurostimulation for control of intractable occipital neuralgia", Neuromodulation, 2, pp.217~21 (1999)
  9. Oh MY, "Peripheral nerve stimulation for the treatment of occipital neuralgia and transformed migraine using a C1-2-3 subcutaneous paddle style electrode: a technical report", Neuromodulation, 7, pp.103~12 (2004)
  10. Melvin EA Jr, "Using peripheral stimulation to reduce the pain of C2-mediated occipital headaches: a preliminary report", Pain Physician, 10, pp.453~60 (2007)
  11. Hammer M, "Perineuromal stimulation in the treatment of occipital neuralgia: a case study", Neuromodulation, 4, pp.47~51 (2001)
  12. Cook AJ, "Prolonged C-fibre mediated facilitation of the flexion reflex in the rat is not due to changes in afferent terminal or motoneurone excitability", Neurosci Lett, 70, pp.91~6 (1986)
  13. Smoldt J, "A comprehensive approach primary headaches", JAAPA, 18, pp.16~22 (2005)
  14. Ignelzi RJ, "Direct effect of electrical stimulation on peripheral nerve evoked activity: implications in pain relief", J Neurosurg, 45, pp.159~65 (1976)
  15. Bartsch T, "Stimulation of the greater occipital nerve induces increased central excitability of dural afferent input", Brain, 125, pp.1496~509 (2002)
  16. Popeney CA, "Peripheral neurostimulation for the treatment of chronic, disabling transformed migraine", Headache, 43, pp.369~75 (2003)
  17. Kapural L, "Occipital nerve electrical stimulation via the midline approach and subcutaneous surgical leads for treatment of severe occipital neuralgia: a pilot study", Anesth Analg, 101, pp.171~4 (2005)

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