Occipital Nerve Stimulator Placement via a Retromastoid to Infraclavicular Approach: A Technical ReportTrentman T.L.a · Slavin K.V.d · Freeman J.A.b · Zimmerman R.S.c
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
Do you have an account?
- Rent for 48h to view
- Buy Cloud Access for unlimited viewing via different devices
- Synchronizing in the ReadCube Cloud
- Printing and saving restrictions apply
Rental: USD 8.50
Cloud: USD 20.00
Article / Publication Details
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.
© 2010 S. Karger AG, Basel
- Burns B, Watkins L, Goadsby PJ: Treatment of medically intractable cluster headache by occipital nerve stimulation: long-term follow-up of eight patients. Lancet 2007;369:1099–1106.
- Magis D, Allena M, Bolla M, De Pasqua V, Remacle JM, Schoenen J: Occipital nerve stimulation for drug-resistant chronic cluster headache: a prospective pilot study. Lancet Neurol 2007;6:314–321.
- Oh MY, Ortega J, Bellotte JB, Whiting DM, Alo KM: 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 2004;7:103–112.
- Rogers LL, Swidan S: Stimulation of the occipital nerve for the treatment of migraine: current state and future prospects. Acta Neurochir Suppl 2007;97:121–128.
- Popeney CA, Alo KM: Peripheral neurostimulation for the treatment of chronic, disabling transformed migraine. Headache 2003;43:369–375.
- Johnstone CS, Sundaraj R: Occipital nerve stimulation for the treatment of occipital neuralgia – eight case studies. Neuromodulation 2006;9:41–47.
- Kapural L, Mekhail N, Hayek SM, Stanton-Hicks M, Malak O: Occipital nerve electrical stimulation via the midline approach and subcutaneous surgical leads for treatment of severe occipital neuralgia: a pilot study. Anesth Analg 2005;101:171–174.
- Ghaemi K, Capelle HH, Kinfe TM, Krauss JK: Occipital nerve stimulation for refractory occipital pain after occipitocervical fusion: expanding indications. Stereotact Funct Neurosurg 2008;86:391–393.
- Schwedt TJ, Dodick DW, Trentman TL, Zimmerman RS: Occipital nerve stimulation for chronic cluster headache and hemicrania continua: pain relief and persistence of autonomic features. Cephalalgia 2006;26:1025–1027.
- Schwedt TJ, Dodick DW, Hentz J, Trentman TL, Zimmerman RS: Occipital nerve stimulation for chronic headache – long-term safety and efficacy. Cephalalgia 2007;27:153–157.
- Trentman TL, Dodick DW, Zimmerman RS, Birch BD: Percutaneous occipital stimulator lead tip erosion: report of two cases. Pain Physician 2008;11:253–256.
http://clinicaltrials.gov/ct2/results?term= occipital+nerve+stimulation (last accessed 6/16/2009).
Jones RL: Occipital nerve stimulation using a medtronic resume II electrode array. Pain Physician 2003;6:507–508.
- Rodrigo-Royo MD, Azcona JM, Quero J, Lorente MC, Acin P, Azcona J: Peripheral neurostimulation in the management of cervicogenic headache: four case reports. Neuromodulation 2005;8:241–248.
- Weiner RL, Reed KL: Peripheral neurostimulation for the control of intractable occipital neuralgia. Neuromodulation 1999;2:217–221.
- Hammer M, Doleys DM: Perineuronal stimulation in the treatment of occipital neuralgia: a case study. Neuromodulation 2001;4:47–51.
Slavin KV, Colpan ME, Munawar N, Wess C, Nersesyan H: Trigeminal and occipital peripheral nerve stimulation for craniofacial pain: a single-institution experience and review of the literature. Neurosurg Focus 2006;21:1–5.
- Slavin KV, Nersesyan H, Wess C: Peripheral neurostimulation for treatment of intractable occipital neuralgia. Neurosurgery 2006;58:112–119; discussion 112–119.
- Jasper JF, Hayek SM: Implanted occipital nerve stimulators. Pain Physician 2008;11:187–200.
- Trentman TL, Zimmerman RS: Occipital nerve stimulation: technical and surgical aspects of implantation. J Head Face Pain 2008;48:319–327.
- Trentman TL, Rosenfeld DM, Vargas BB, Schwedt TJ, Zimmerman RS, Dodick DW: Greater occipital nerve stimulation via the bion microstimulator: implantation technique and stimulation parameters. Clinical trial: Nct00205894. Pain Physician 2009;12:621–628.
- Rainov NG, Heidecke V: Hardware failures in spinal cord stimulation (SCS) for chronic benign pain of spinal origin. Acta Neurochir Suppl 2007;97:101–104.
Syed M, Slavin KV: Infraclavicular generator placement for neurostimulation: are the patients satisfied?; in Krames E, Meglio M (eds): 7th Meeting of the International Neuromodulation Society. Rome, 2005, pp 81–84.
Article / Publication Details
Copyright / Drug Dosage / DisclaimerCopyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.