Peripheral neurostimulation in supraorbital neuralgia refractory to conventional therapy.
Supraorbital neuralgia has been identified as an infrequent cause of headache that may prove very difficult to control pharmacologically. Peripheral nerve stimulation using electrodes to stimulate the nerve segmentally responsible for the zone of pain may constitute a management alternative in such cases. We present the case of a patient with headache because of posttraumatic supraorbital neuralgia, refractory to medical treatment, with good analgesic control after peripheral nerve stimulation. Peripheral nerve stimulation may be considered a safe, reversible treatment for patients with headache secondary to supraorbital neuralgia who respond poorly to pharmacological treatment, thus avoiding irreversible alternatives such as surgery.
Asensio-Samper
Juan M
JM
Anesthesiology and Multidiscipline Pain Unit, Valencia University General Hospital, Valencia, Spain. jmasensiosamper@hotmail.com
Villanueva
Vicente L
VL
Pérez
Alfonso V
AV
López
María D
MD
Monsalve
Vicente
V
Moliner
Susana
S
De Andrés
Jose
J
D000328:Adult; D004599:Electric Stimulation Therapy / Q000379:methods*; D006801:Humans; D008297:Male; D009437:Neuralgia / Q000628:therapy*; D010147:Pain Measurement / Q000379:methods; D010525:Peripheral Nerves / Q000502:physiology / Q000528:radiation effects*