Pain

Read the latest findings related to pain in Neurosurgery Watch and improve your practice with new approaches and techniques.

PA
SP

Early physical therapy provides a statistical but not a clinical improvement for acute axial back pain

November 2, 2015
Pain, Spine
By: 
Nathaniel P. Brooks, MD
Source: 
JAMA

Is physical therapy more beneficial than usual care in improving acute axial back pain?  Although this is not a common problem seen in neurosurgery or spine surgery clinics it is definitely a commonly asked question by our primary care colleagues....

PA

Occipital Nerve Stimulation for Medically Refractory Occipital Neuralgia: Systemic Review and Guideline

October 5, 2015
Pain, Stereotactic & Functional
By: 
Shivanand P. Lad, MD, PhD
Ausaf A. Bari, MD PhD
Source: 
Neurosurgery

Occipital neuralgia (ON) is characterized by attacks of lancinating, shock-like, paroxysmal pain radiating from the occiput to the posterior scalp in the greater and lesser occipital nerve distributions. Occipital nerve stimulation (ONS) is...

PA

Occipital nerve stimulation reduces intensity and frequency of migraine headaches

September 4, 2014
Pain
By: 
Nader Pouratian, MD PhD
Source: 
Cephalalgia

Occipital nerve stimulation for managing chronic migraines remains incompletely understood. A previously reported multicenter, randomized, double-blind trial of bilateral occipital nerve stimulation for chronic migraine in 157 patients revealed significant and clinically meaningful reductions in the active stimulation group for...

PA

Expert Consensus on Sphenopalatine ganglion stimulation for cluster headaches

May 30, 2014
Pain
By: 
Nader Pouratian, MD PhD
Source: 
Cephalalgia

Cluster headaches (CH) are excruciating and cause significant medical, economic and social impairment, especially when refractory to medical therapies. While inconsistent results have been reported with many neuromodulatory approaches, a randomized sham-controlled study of sphenopalatine ganglion (SPG) stimulation reported...

PA

Evidence-Based Guideline Update: Vagus Nerve Stimulation for the Treatment of Epilepsy

November 1, 2013
Pain
By: 
Jason M. Schwalb, MD
Source: 
PubMed

In the October 2013 issue of Neurology, Morris and colleagues authored an AAN and AES-supported guideline regarding vagal nerve stimulation. There was only one paper, the initial pivotal trial, that was felt to be better than Class III evidence. All...

CV
PA

Headaches After Craniotomy Versus Endovascular Therapy for Aneurysms

August 1, 2013
Cerebrovascular, Pain
By: 
Justin F. Fraser, MD
Source: 
Wiley Online Library

Headaches can significantly impact quality of life after aneurysm treatment. Magalhães JE et al. (Headache, June 2013) performed a 4-month prospective cohort study comparing headaches in aneurysm patients after surgical clipping or endovascular coiling using the International Classification of Headache...