Patient Selection

  • Thomas Muehlberger


The selection of eligible patients for migraine surgery concerns mainly differential diagnostic issues and the quest to identify clinical parameters to predict surgical success or failure. The spectrum of patients should not be restricted to individuals who have failed traditional treatments. Pediatric and adolescent patients should be given particular consideration for surgical treatment in view of insufficient conservative options. The increasing knowledge of the pathophysiology of migraine with regard to pericranial nerves would suggest a reevaluation of neuralgia. The interaction of neuralgia, trauma, and cervicogenic headache in association with migraine genesis deserves particular attention for the selection of migraine surgery patients. A past history of trauma should prompt the diagnostic exclusion of cervicogenic headache which may otherwise abet a poor outcome of migraine surgery.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Thomas Muehlberger
    • 1
  1. 1.Medsteps AGChamSwitzerland

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