Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Occipital peripheral nerve stimulation in the management of chronic intractable occipital neuralgia in a patient with neurofibromatosis type 1: a case report. | Skaribas et al. Journal of Medical Case Reports 2011 5 174 http content 5 1 174 JOURNALOF medical Ur Case REPORTS CASE REPORT Open Access Occipital peripheral nerve stimulation in the management of chronic intractable occipital neuralgia in a patient with neurofibromatosis type 1 a case report loannis Skaribas1 2 Octavio Calvillo1 2 and Evangelia Delikanaki-Skaribas1 2 Abstract Introduction Occipital peripheral nerve stimulation is an interventional pain management therapy that provides beneficial results in the treatment of refractory chronic occipital neuralgia. Herein we present a first-of-its-kind case study of a patient with neurofibromatosis type 1 and bilateral occipital neuralgia treated with occipital peripheral nerve stimulation. Case presentation A 42-year-old Caucasian woman presented with bilateral occipital neuralgia refractory to various conventional treatments and she was referred for possible treatment with occipital peripheral nerve stimulation. She was found to be a suitable candidate for the procedure and she underwent implantation of two octapolar stimulating leads and a rechargeable programmable implantable generator. The intensity severity and frequency of her symptoms resolved by more than 80 but an infection developed at the implantation site two months after the procedure that required explantation and reimplantation of new stimulating leads three months later. To date she continues to experience symptom resolution of more than 60 . Conclusion These results demonstrate the significance of peripheral nerve stimulation in the management of refractory occipital neuralgias in patients with neurofibromatosis type 1 and the possible role of neurofibromata in the development of occipital neuralgia in these patients. Introduction Chronic daily headache CDH syndromes represent a major health issue worldwide in terms of lost workdays and revenue 1-3 . Diagnoses include migraine atypical migraine cluster headaches .
