Occipital Nerve Stimulator Placement via a Retromastoid to Infraclavicular Approach: A Technical ReportTrentman T.L. · Slavin K.V. · Freeman J.A. · Zimmerman R.S.
Departments of aAnesthesiology, bPhysical Medicine and Rehabilitation and cNeurosurgery, Mayo Clinic Arizona, Phoenix, Ariz., and dDepartment of Neurosurgery, University of Illinois at Chicago, Chicago, Ill., USA
Occipital nerve stimulation is a form of peripheral nerve stimulation used to treat refractory headache disorders. Various techniques have been described for occipital nerve stimulator implantation; these include midline cervical or retromastoid lead insertion with internal pulse generator placement in the infraclavicular, gluteal or low abdominal regions. Lead migration is one of the most common complications of occipital nerve stimulators. Implantation approaches that include remote battery sites may contribute to mechanical stress on the components, as the leads or extensions may traverse highly mobile body regions. In this technical report, we describe an occipital stimulator implantation technique that may be advantageous in terms of patient positioning, ease of surgical approach and minimization of mechanical stress on components.
Terrence L. Trentman, MD
Mayo Clinic Arizona, Department of Anesthesiology
5777 E Mayo Blvd.
Phoenix, AZ 85054 (USA)
Tel. +1 480 342 1800, Fax +1 480 342 2319, E-Mail email@example.com
Received: June 24, 2009
Accepted after revision: January 4, 2010
Published online: February 27, 2010
Number of Print Pages : 5
Number of Figures : 8, Number of Tables : 1, Number of References : 23
Stereotactic and Functional Neurosurgery
Vol. 88, No. 2, Year 2010 (Cover Date: March 2010)
Journal Editor: Roberts D.W. (Lebanon, N.H.)
ISSN: 1011-6125 (Print), eISSN: 1423-0372 (Online)
For additional information: http://www.karger.com/SFN