Chapter title |
Occipital nerve stimulation.
|
---|---|
Chapter number | 2 |
Book title |
Advances and Technical Standards in Neurosurgery
|
Published in |
Advances and technical standards in neurosurgery, November 2014
|
DOI | 10.1007/978-3-319-09066-5_2 |
Pubmed ID | |
Book ISBNs |
978-3-31-909065-8, 978-3-31-909066-5
|
Authors |
Mammis A, Agarwal N, Mogilner AY, Antonios Mammis, Nitin Agarwal, Alon Y. Mogilner |
Abstract |
Occipital nerve stimulation (ONS) is a form of neuromodulation therapy aimed at treating intractable headache and craniofacial pain. The therapy utilizes neurostimulating electrodes placed subcutaneously in the occipital region and connected to a permanently implanted programmable pulse generator identical to those used for dorsal column/spinal cord stimulation. The presumed mechanisms of action involve modulation of the trigeminocervical complex, as well as closure of the physiologic pain gate. ONS is a reversible, nondestructive therapy, which can be tailored to a patient's individual needs. Typically, candidates for successful ONS include those patients with migraines, Chiari malformation, or occipital neuralgia. However, recent MRSA infections, unrealistic expectations, and psychiatric comorbidities are generally contraindications. As with any invasive procedure, complications may occur including lead migration, infection, wound erosion, device failure, muscle spasms, and pain. The success of this therapy is dependent on careful patient selection, a preimplantation trial, meticulous implantation technique, programming strategies, and complication avoidance. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Germany | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 32 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Bachelor | 8 | 25% |
Student > Doctoral Student | 3 | 9% |
Student > Ph. D. Student | 3 | 9% |
Other | 2 | 6% |
Researcher | 2 | 6% |
Other | 2 | 6% |
Unknown | 12 | 38% |
Readers by discipline | Count | As % |
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Nursing and Health Professions | 9 | 28% |
Medicine and Dentistry | 8 | 25% |
Neuroscience | 2 | 6% |
Psychology | 1 | 3% |
Unknown | 12 | 38% |