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Hypothalamic Deep Brain Stimulation

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Neuromodulation in Headache and Facial Pain Management

Part of the book series: Headache ((HEAD))

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Abstract

DBS of the retro-hypothalamic region has been proposed as a prophylactic treatment for refractory chronic CH. Its efficacy has been reported in several open studies and case series but not confirmed in controlled condition. DBS is efficient in about 60–70% of the patients (decrease of attack frequency >50%). Although rare, the main risk remains the potential occurrence of an intracranial hemorrhage, which prompts to reserve DBS for medically refractory CH patients who are also resistant to other neuromodulation alternatives, namely occipital nerve stimulation and sphenopalatine ganglion stimulation.

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Author information

Authors and Affiliations

  1. Department of Neurosurgery, CHU de Nice, Université Cote d’Azur, Nice, France

    Denys Fontaine

  2. Université Cote d’Azur, FHU INOVPAIN, CHU de Nice, Nice, France

    Denys Fontaine

  3. Department of Neurosurgery, CHU de Grenoble-Alpes, Grenoble, France

    Stephan Chabardes

Authors
  1. Denys Fontaine
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  2. Stephan Chabardes
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Correspondence to Denys Fontaine .

Editor information

Editors and Affiliations

  1. Headache Centre, Guy’s and St Thomas’, NHS Foundation Trust, Pain Management and Neuromodulation Centre and Neurology Department, London, UK

    Giorgio Lambru

  2. Department de Traitement de la douleur, Centre Hospitalier Universitaire de Nice, Department de Traitement de la douleur, Nice, France

    Michel Lanteri-Minet

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Fontaine, D., Chabardes, S. (2020). Hypothalamic Deep Brain Stimulation. In: Lambru, G., Lanteri-Minet, M. (eds) Neuromodulation in Headache and Facial Pain Management. Headache. Springer, Cham. https://doi.org/10.1007/978-3-030-14121-9_3

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  • DOI: https://doi.org/10.1007/978-3-030-14121-9_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-14120-2

  • Online ISBN: 978-3-030-14121-9

  • eBook Packages: MedicineMedicine (R0)

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