We reviewed the literature that explored the use of central and peripheral neuromodulation techniques for chronic daily headache (CDH) treatment. Although the more invasive deep brain stimulation (DBS) is effective in chronic cluster headache (CCH), it should be reserved for extremely difficult-to-treat patients. Percutaneous occipital nerve stimulation has shown similar efficacy to DBS and is less risky in both CCH and chronic migraine (CM). Non-invasive transcutaneous vagus nerve stimulation is a promising add-on treatment for CCH but not for CM. Transcutaneous external trigeminal nerve stimulation may be effective in treating CM; however, it has not yet been tested for cluster headache. Transcranial magnetic and electric stimulations have promising preventive effects against CM and CCH. Although the precise mode of action of non-invasive neuromodulation techniques remains largely unknown and there is a paucity of controlled trials, they should be preferred to more invasive techniques for treating CDH.

Neuromodulation for Chronic Daily Headache / Gianluca, Coppola; Delphine, Magis; Francesco, Casillo; Gabriele, Sebastianelli; Chiara, Abagnale; Cioffi, E; Davide Di, Lenola; Cherubino Di, Lorenzo; Mariano, Serrao. - In: CURRENT PAIN AND HEADACHE REPORTS. - ISSN 1534-3081. - (2022). [https://doi.org/10.1007/s11916-022-01025-x]

Neuromodulation for Chronic Daily Headache

Gianluca Coppola;CIOFFI E;Mariano Serrao
2022

Abstract

We reviewed the literature that explored the use of central and peripheral neuromodulation techniques for chronic daily headache (CDH) treatment. Although the more invasive deep brain stimulation (DBS) is effective in chronic cluster headache (CCH), it should be reserved for extremely difficult-to-treat patients. Percutaneous occipital nerve stimulation has shown similar efficacy to DBS and is less risky in both CCH and chronic migraine (CM). Non-invasive transcutaneous vagus nerve stimulation is a promising add-on treatment for CCH but not for CM. Transcutaneous external trigeminal nerve stimulation may be effective in treating CM; however, it has not yet been tested for cluster headache. Transcranial magnetic and electric stimulations have promising preventive effects against CM and CCH. Although the precise mode of action of non-invasive neuromodulation techniques remains largely unknown and there is a paucity of controlled trials, they should be preferred to more invasive techniques for treating CDH.
2022
Deep brain stimulation; Sphenopalatine ganglia; Occipital nerve; Vagus nerve; Trigeminal nerve; Transcranial magnetic stimulation; Direct current stimulation
01 Pubblicazione su rivista::01a Articolo in rivista
Neuromodulation for Chronic Daily Headache / Gianluca, Coppola; Delphine, Magis; Francesco, Casillo; Gabriele, Sebastianelli; Chiara, Abagnale; Cioffi, E; Davide Di, Lenola; Cherubino Di, Lorenzo; Mariano, Serrao. - In: CURRENT PAIN AND HEADACHE REPORTS. - ISSN 1534-3081. - (2022). [https://doi.org/10.1007/s11916-022-01025-x]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1619815
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