New surgical approach for migraine.
OBJECTIVE
To introduce a new procedure for the treatment of intractable cases of migraine.


METHODS
To eliminate the excessive vascular and nervous effect by ligation of superficial temporal artery and middle meningeal artery and severance of greater superficial petrosal nerve.


RESULTS
A total of 10 patients with cases of severe migraine underwent the surgery. A follow-up of 2 to 18 years showed no recurrences. Among the patients, three were living and well for more than 10 years.


CONCLUSIONS
With an extradural approach, the procedure is relatively safe and simple. It stands as a good alternative for the treatment of intractable cases of migraine.
Fan
Zhaomin
Z
Department of Otolaryngology-Head and Neck Surgery, Shandong Provincial Hospital, Jinan, Shandong, PR China.
Fan
Zhong
Z
Wang
Haibo
H
D000328:Adult; D000368:Aged; D003399:Craniotomy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008026:Ligation; D008297:Male; D008576:Meningeal Arteries / Q000601:surgery*; D008875:Middle Aged; D008881:Migraine Disorders / Q000601:surgery*; D010579:Petrous Bone / Q000294:innervation / Q000601:surgery; D013699:Temporal Arteries / Q000601:surgery*; D013701:Temporal Bone / Q000294:innervation* / Q000601:surgery*; D016896:Treatment Outcome