Occipital nerve stimulation in pediatric patients with refractory occipital neuralgia.
Adolescent
Occipital nerve stimulation
Occipital neuralgia
Pain
Pediatric
Journal
Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
ISSN: 1433-0350
Titre abrégé: Childs Nerv Syst
Pays: Germany
ID NLM: 8503227
Informations de publication
Date de publication:
02 Apr 2024
02 Apr 2024
Historique:
received:
06
03
2024
accepted:
22
03
2024
medline:
2
4
2024
pubmed:
2
4
2024
entrez:
2
4
2024
Statut:
aheadofprint
Résumé
Occipital neuralgia (ON) is a disabling problem within the pediatric population. Many of these patients fail medical therapies and continue to suffer without further surgical management. Occipital nerve stimulation (ONS) is used to treat ON in the adult population leading to a 72-89% reduction in pain; however, there are limited studies regarding its use in the pediatric population. In this study, we examined the outcomes of ONS in pediatric patients with medically refractory ON. We performed a chart review of pediatric patients at our institution who have undergone ONS for the same indications. We identified 3 patients at our institution who underwent ONS trial and/or permanent implantation for ON. One patient had complete pain relief after the trial and declined permanent implantation. The other patient had fewer attacks compared to his pre-trial baseline and controlled them by adjusting his permanent implant stimulation settings. The last patient had near complete relief of her symptoms and no longer required any pain medication. Our study highlights the paucity of studies evaluating the utility of ONS in the pediatric ON population. Limited data from both the literature and our institution's experience reveal that pediatric patients may benefit from trial and/or permanent implantation of ONS for medically refractory ON pain.
Identifiants
pubmed: 38563970
doi: 10.1007/s00381-024-06376-x
pii: 10.1007/s00381-024-06376-x
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024. The Author(s).
Références
Genizi J, Khourieh-Matar A, Assaf N, Chistyakov I, Srugo I (2017) Occipital headaches in children: are they a red flag? J Child Neurol 32(11):942–946. https://doi.org/10.1177/0883073817723266
doi: 10.1177/0883073817723266
pubmed: 28768455
Eidlitz-Markus T, Zeharia A, Haimi-Cohen Y, Konen O (2014) Occipital and craniocervical pain and brain MRI in children with migraine. Pediatr Neurol 50(4):347–352. https://doi.org/10.1016/j.pediatrneurol.2013.11.004
doi: 10.1016/j.pediatrneurol.2013.11.004
pubmed: 24485928
Irwin SL, Gelfand AA (2018) Occipital headaches and neuroimaging in children. Curr Pain Headache Rep 22(9):59. https://doi.org/10.1007/s11916-018-0712-6
doi: 10.1007/s11916-018-0712-6
pubmed: 29987497
Kim S (2022) Pediatric headache: a narrative review. J Yeungnam Med Sci 39(4):278–284. https://doi.org/10.12701/jyms.2022.00528 . Epub 2022 Sep 14. PMID: 36102115; PMCID: PMC9580058
Barmherzig R, Kingston W (2019) Occipital neuralgia and cervicogenic headache: diagnosis and management. Curr Neurol Neurosci Rep 19(5):20. https://doi.org/10.1007/s11910-019-0937-8
doi: 10.1007/s11910-019-0937-8
pubmed: 30888540
Love SM, Hopkins BD, Migdal CW, Schuster NM (2022) Occipital headache evaluation and rates of migraine assessment, diagnosis, and treatment in patients receiving greater occipital nerve blocks in an academic pain clinic. Pain Med 23(11):1851–1857. https://doi.org/10.1093/pm/pnac080
doi: 10.1093/pm/pnac080
pubmed: 35595240
Ryu JH, Shim JH, Yeom JH, Shin WJ, Cho SY, Jeon WJ (2019) Ultrasound-guided greater occipital nerve block with botulinum toxin for patients with chronic headache in the occipital area: a randomized controlled trial. Korean J Anesthesiol 72(5):479–485. https://doi.org/10.4097/kja.19145
doi: 10.4097/kja.19145
pubmed: 31159537
pmcid: 6781206
Salmasi V, Olatoye OO, Terkawi AS, Hah JM, Ottestad E, Pingree M (2020) Peripheral nerve stimulation for occipital neuralgia. Pain Med 21(Supplement_1):S13–S17. https://doi.org/10.1093/pm/pnaa083
doi: 10.1093/pm/pnaa083
pubmed: 32804226
Weiner RL, Reed KL (1999) Peripheral neurostimulation for control of intractable occipital neuralgia. Neuromodulation: Technology at the Neural Interface 2(3):217–221. https://doi.org/10.1046/j.1525-1403.1999.00217.x
doi: 10.1046/j.1525-1403.1999.00217.x
pubmed: 22151211
Raoul S, Nguyen JM, Kuhn E et al (2020) Efficacy of occipital nerve stimulation to treat refractory occipital headaches: a single-institution study of 60 patients. Neuromodulation: Technology at the Neural Interface 23(6):789–795. https://doi.org/10.1111/ner.13223
doi: 10.1111/ner.13223
pubmed: 32725745
Green A, Issa MA, Kim CH (2013) Peripheral nerve stimulation for treatment of chronic headache: a case report. W V Med J 109(6):24–28
pubmed: 24371861
Johnson MD, Burchiel KJ (2004) Peripheral stimulation for treatment of trigeminal postherpetic neuralgia and trigeminal posttraumatic neuropathic pain: a pilot study. Neurosurgery 55(1):135. https://doi.org/10.1227/01.NEU.0000126874.08468.89
doi: 10.1227/01.NEU.0000126874.08468.89
pubmed: 15214982
Keifer OP, Diaz A, Campbell M, Bezchlibnyk YB, Boulis NM (2017) Occipital nerve stimulation for the treatment of refractory occipital neuralgia: a case series. World Neurosurgery 105:599–604. https://doi.org/10.1016/j.wneu.2017.06.064
doi: 10.1016/j.wneu.2017.06.064
pubmed: 28634063
Kapural L, Mekhail N, Hayek SM, Stanton-Hicks M, Malak O (2005) Occipital nerve electrical stimulation via the midline approach and subcutaneous surgical leads for treatment of severe occipital neuralgia: a pilot study. Anesth Analg 101(1):171. https://doi.org/10.1213/01.ANE.0000156207.73396.8E
doi: 10.1213/01.ANE.0000156207.73396.8E
pubmed: 15976227
Slavin KV, Nersesyan H, Wess C (2006) Peripheral neurostimulation for treatment of intractable occipital neuralgia. Neurosurgery 58(1):112. https://doi.org/10.1227/01.NEU.0000192163.55428.62
doi: 10.1227/01.NEU.0000192163.55428.62
pubmed: 16385335
Ghaemi K, Capelle HH, Kinfe TM, Krauss JK (2008) Occipital nerve stimulation for refractory occipital pain after occipitocervical fusion: expanding indications. Stereotact Funct Neurosurg 86(6):391–393. https://doi.org/10.1159/000175802
doi: 10.1159/000175802
pubmed: 19033708
Liberati A, Altman DG, Tetzlaff J et al (2009) The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ 339:b2700. https://doi.org/10.1136/bmj.b2700
doi: 10.1136/bmj.b2700
pubmed: 19622552
pmcid: 2714672
Staudt MD, Hayek SM, Rosenow JM et al (2023) Congress of Neurological Surgeons systematic review and evidence-based guidelines for occipital nerve stimulation for the treatment of patients with medically refractory occipital neuralgia: update. Neurosurgery 93(3):493. https://doi.org/10.1227/neu.0000000000002578
doi: 10.1227/neu.0000000000002578
pubmed: 37458729
Pisapia JM, Bhowmick DA, Farber RE, Zager EL (2012) Salvage C2 ganglionectomy after C2 nerve root decompression provides similar pain relief as a single surgical procedure for intractable occipital neuralgia. World Neurosurg 77(2):362–369. https://doi.org/10.1016/j.wneu.2011.06.062
doi: 10.1016/j.wneu.2011.06.062
pubmed: 22120336
Lozano AM, Vanderlinden G, Bachoo R, Rothbart P (1998) Microsurgical C-2 ganglionectomy for chronic intractable occipital pain. J Neurosurg 89(3):359–365. https://doi.org/10.3171/jns.1998.89.3.0359
doi: 10.3171/jns.1998.89.3.0359
pubmed: 9724107
Abd-Elsayed A, Yapo SA, Cao NN, Keith MK, Fiala KJ (2023) Radiofrequency ablation of the occipital nerves for treatment of neuralgias and headache. Pain Pract. https://doi.org/10.1111/papr.13276
doi: 10.1111/papr.13276
pubmed: 37860925
Villeneuve LM, Coulibaly NJ, Raza SM, Poinson B, Chrusciel D, Desai VR (2023) Surgical management of pediatric occipital neuralgia: a single-center experience of an uncommon pathology. J Neurosurg Pediatr 1(aop):1–8. https://doi.org/10.3171/2023.5.PEDS22554
doi: 10.3171/2023.5.PEDS22554
Vadivelu S, Bolognese P, Milhorat TH, Mogilner AY (2012) Occipital nerve stimulation for refractory headache in the Chiari malformation population. Neurosurgery 70(6):1430. https://doi.org/10.1227/NEU.0b013e3182545a1c
doi: 10.1227/NEU.0b013e3182545a1c
pubmed: 22418582
Borius PY, Valade D (2021) A new treatment option for children with refractory chronic paroxysmal hemicranias: occipital nerve stimulation. Pediatr Neurol 125:18–19. https://doi.org/10.1016/j.pediatrneurol.2021.09.010
doi: 10.1016/j.pediatrneurol.2021.09.010
pubmed: 34624605