title: Implanted auriculotemporal nerve stimulator for the treatment of refractory chronic migraine.
abstract: OBJECTIVE
  To report a case of improved pain control and function in a patient with chronic migraine after treatment with auriculotemporal nerve stimulation.
  
  
  METHODS
  The patient is a 52-year-old woman with refractory pain in the bilateral temporal distribution and marked phonophobia as a result of chronic migraine.
  
  
  RESULTS
  After a successful trial period, the patient underwent implantation of bilateral peripheral nerve stimulators targeting the auriculotemporal nerves. At 16 months of follow up, her average pain intensity declined from 8-9/10 on the numeric rating scale to 5/10. Her function improved as assessed by the Migraine Disability Assessment, from total disability (grade IV) to mild disability (grade II). Her phonophobia became far less debilitating.
  
  
  CONCLUSIONS
  Auriculotemporal nerve stimulation may be useful tool in the treatment of refractory pain in the temporal distribution due to chronic migraine.
authors.affiliation: Beth Israel Deaconess Medical Center - Anesthesia, Boston, MA, USA.
authors.forename: Thomas
authors.initials: T
authors.lastname: Simopoulos
authors.forename: Zahid
authors.initials: Z
authors.lastname: Bajwa
authors.forename: George
authors.initials: G
authors.lastname: Lantz
authors.forename: Steve
authors.initials: S
authors.lastname: Lee
authors.forename: Rami
authors.initials: R
authors.lastname: Burstein
mesh_terms: D004599:Electric Stimulation Therapy / Q000379:methods*; D004567:Electrodes, Implanted; D005260:Female; D006801:Humans; D008340:Mandibular Nerve; D008875:Middle Aged; D008881:Migraine Disorders / Q000628:therapy*; D010147:Pain Measurement; D010148:Intractable Pain / Q000628:therapy*; D016896:Treatment Outcome