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Radiofrequency Ablation for Treating Headache

  • Neuropathic Pain (A. Abd-Elsayed, Section Editor)
  • Published:
Current Pain and Headache Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

Examining the efficacy of radiofrequency ablation in treating headache conditions.

Recent Findings

The efficacy of radiofrequency ablation in treating headache conditions is not well studied.

Summary

Chronic headache conditions can be difficult to treat with little consensus on management of headaches associated with pericranial neuralgias. In this retrospective study, we found that radiofrequency ablation is an effective and safe treatment for resistant headache conditions. This study is important as it describes a novel treatment for chronic headache which can benefit a large number of patients.

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References

  1. Treede RD, Jensen TS, Campbell JN, et al. Neuropathic pain: redefinition and a grading system for clinical and research purposes. Neurology. 2008;70(18):1630–5.

    Article  CAS  Google Scholar 

  2. Merskey HE. Classification of chronic pain: descriptions of chronic pain syndromes and definitions of pain terms. Pain. 1986.

  3. Abd-elsayed AA, Grandhi R, Sachdeva H. Effective management of trigeminal neuralgia by neurostimulation. Ochsner J. 2015;15(2):193–5.

    PubMed  PubMed Central  Google Scholar 

  4. Garza I, Schwedt TJ, Robertson CE, et al. Headache and other craniofacial pain. In: Bradley’s Neurology in Clinical Practice. 7th ed. Philadelphia: Elsevier; 2016. p. 1686–719.

    Google Scholar 

  5. Merikangas KR. Contributions of epidemiology to our understanding of migraine. Headache. 2013;53(2):230–46.

    Article  Google Scholar 

  6. Emril DR, Ho KY. Treatment of trigeminal neuralgia: role of radiofrequency ablation. J Pain Res. 2010;3:249–54.

    PubMed  PubMed Central  Google Scholar 

  7. Vu T, Chhatre A. Cooled radiofrequency ablation for bilateral greater occipital neuralgia. Case Rep Neurol Med. 2014;2014:257373.

    PubMed  PubMed Central  Google Scholar 

  8. Hamer JF, Purath TA. Response of cervicogenic headaches and occipital neuralgia to radiofrequency ablation of the C2 dorsal root ganglion and/or third occipital nerve. Headache. 2014;54(3):500–10.

    Article  Google Scholar 

  9. D’amico D, Usai S, Grazzi L, et al. Quality of life and disability in primary chronic daily headaches. Neurol Sci. 2003;24(Suppl 2):S97–100.

    PubMed  Google Scholar 

  10. Abd-Elsayed A, Kreuger L, Wheeler S, Robillard J, Seeger S, Dulli D. Radiofrequency ablation of pericranial nerves for treating headache conditions: a promising option for patients. Ochsner J. 2018;18(1):59–62.

    PubMed  PubMed Central  Google Scholar 

  11. Ashkenazi A, Blumenfeld A, Napchan U, Narouze S, Grosberg B, Nett R, et al. Peripheral nerve blocks and trigger point injections in headache management - a systematic review and suggestions for future research. Headache. 2010;50(6):943–52.

    Article  Google Scholar 

  12. Aurora SK, Dodick DW, Turkel CC, DeGryse R, Silberstein SD, Lipton RB, et al. OnabotulinumtoxinA for treatment of chronic migraine: results from the double-blind, randomized, placebo-controlled phase of the PREEMPT 1 trial. Cephalalgia. 2010;30(7):793–803.

    Article  CAS  Google Scholar 

  13. Herd CP, Tomlinson CL, Rick C, et al. Botulinum toxins for the prevention of migraine in adults. Cochrane Database Syst Rev. 2018;6:CD011616.

    PubMed  Google Scholar 

  14. Denton TR, Shields LBE, Howe JN, Shanks TS, Spalding AC. Practical considerations of linear accelerator-based frameless extracranial radiosurgery for treatment of occipital neuralgia for nonsurgical candidates. J Appl Clin Med Phys. 2017;18(4):123–32.

    Article  Google Scholar 

  15. Sarsam Z, Garcia-fiñana M, Nurmikko TJ, Varma TR, Eldridge P. The long-term outcome of microvascular decompression for trigeminal neuralgia. Br J Neurosurg. 2010;24(1):18–25.

    Article  Google Scholar 

  16. Toda K. Operative treatment of trigeminal neuralgia: review of current techniques. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;106(6):788–805 805.e1–6.

    Article  Google Scholar 

  17. Cohen SP, Peterlin BL, Fulton L, Neely ET, Kurihara C, Gupta A, et al. Randomized, double-blind, comparative-effectiveness study comparing pulsed radiofrequency to steroid injections for occipital neuralgia or migraine with occipital nerve tenderness. Pain. 2015;156(12):2585–94.

    Article  CAS  Google Scholar 

  18. Huang JH, Galvagno SM, Hameed M, et al. Occipital nerve pulsed radiofrequency treatment: a multi-center study evaluating predictors of outcome. Pain Med. 2012;13(4):489–97.

    Article  Google Scholar 

  19. Choi HJ, Oh IH, Choi SK, Lim YJ. Clinical outcomes of pulsed radiofrequency neuromodulation for the treatment of occipital neuralgia. J Korean Neurosurg Soc. 2012;51(5):281–5.

    Article  Google Scholar 

  20. Kanpolat Y, Savas A, Bekar A, Berk C. Percutaneous controlled radiofrequency trigeminal rhizotomy for the treatment of idiopathic trigeminal neuralgia: 25-year experience with 1,600 patients. Neurosurgery. 2001;48(3):524–32.

    Article  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue, B6/319 CSC, Madison, WI, 53792-3272, USA

    Alaa Abd-Elsayed, Sean Nguyen & Kenneth Fiala

Authors
  1. Alaa Abd-Elsayed
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  2. Sean Nguyen
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  3. Kenneth Fiala
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Corresponding author

Correspondence to Alaa Abd-Elsayed.

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Conflict of Interest

Alaa Abd-Elsayed, Sean Nguyen, and Kenneth Fiala declare no conflict of interest. Dr. Abd-Elsayed is a consultant for Medtronic, Halyard, Sollis, SpineLoop, and StimWave.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Neuropathic Pain

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Abd-Elsayed, A., Nguyen, S. & Fiala, K. Radiofrequency Ablation for Treating Headache. Curr Pain Headache Rep 23, 18 (2019). https://doi.org/10.1007/s11916-019-0755-3

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  • DOI: https://doi.org/10.1007/s11916-019-0755-3

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