MIGRAINE SURGERY

MIGRAINE SURGERY

Library of Congress Cataloging-in-Publication Data

Contents

Preface

About the Editor

Contributors

Chapter 1: History of Migraine Surgery

Introduction

Prehistoric Period

Conclusion

References

Chapter 2: Fundamentals of Migraine

Definition, Epidemiology and Genetics

Types and Classification

Pathophysiology

Medical Management

References

Chapter 3: Medical Optimization of the Migraine Patient: What is Refractory Migraine?

Pharmacological Treatments

Prevention Therapy

Pharmacological Treatments

References

Chapter 4: Psychological Considerations in the Migraine Patient

Abstract

Migraine and Quality of Life

Psychological Assessment in Migraine

Psychiatric Comorbidity in Migraine

Psychological Factors in the Medical and Surgical Treatment of Migraine

Behavioral Treatments for Migraine

Relaxation Training and Biofeedback

Conclusion

References

Chapter 5: Interventional Treatment of Migraine 1: Botox -Trigger Point Injections

TrPs of Cervical Muscles

TrPs of Pericranial Muscles

Trigger Point Injection Technique

Botulinum Toxin

Conclusion

References

Chapter 6: Interventional Treatment of Migraine 2: Nerve Blocks

Abstract

Greater Occipital Nerve Block

Headache Types Treated by GON

GON Technique

Lesser Occipital Nerve Block

Trigeminal Nerve Blocks

Supraorbital Nerve Blocks

Sphenopalatine Ganglion Block

The Intranasal Approach

The Transoral (Greater Palatine Foramen Approach) Approach

The Infrazygomatic Arch (Lateral Infratemporal) Approach

Gasserian Ganglion

Conclusion

References

Chapter 7: Decompression Procedures

Introduction

Trigger Site Decompression

Patient Selection

Trigger Sites

Frontal

Temporal

Occipital

Septonasal

Additional Sites

Evidence

Arterial Surgery

Patient Selection

Surgical Technique

Arterial Surgery Results

Barriers and the Future

References

Chapter 8: Neuromodulation Therapies for Headache

Introduction

Patient Selection

Occipital Nerve Stimulation

Spinal Cord Stimulation

Conclusion

References

Chapter 9: Patient Selection and Complication Avoidance in Occipital Nerve Stimulation

Introduction

Clinical Trials

Patient Selection

Complication Avoidance Strategies

Infection

Lead Migration or Malfunction

IPG Related Issues

Conclusion

References

Chapter 10: Deep Brain Stimulation for Refractory Headache Disorders

Introduction

Pain Pathways

Targeting Pain Pathways with Lesioning Procedures

Deep Brain Stimulation

Future Directions: DBS for Refractory Migraine?

Conclusion

References

Chapter 11: Migraine and Movement Disorders

Introduction

Basal Ganglia and Migraine

Role of Dopamine in Cell Signaling Underlying Migraine

Impaired Iron Homeostasis in Migraine and Movement Disorders

Parkinson’s Disease and Migraine

Essential Tremor and Migraine

Tourette’s Syndrome and Migraine

Restless Legs Syndrome and Migraine

Sydenham’s Chorea and Migraine

Channelopathies

PRRT2 Mutations in Hemiplegic Migraine and Paroxysmal Movement Disorders

Conclusion

References

Chapter 12: Migraine and Exercise

References

Chapter 13: Alternative and Complementary Treatments

Introduction to Acupuncture

Definitions

Mechanism of Action

Tai Chi and Treatment of Headache

Conclusion

References

Chapter 14: The Business and Economics of Migraine Surgery

Introduction

Insurance Coverage

Cost-Effectiveness of Migraine Surgery

Coding and Billing of Neurostimulation

Key Components of a Robust Migraine Surgery Program

Conclusion

References

Index