Neuromodulation in headache and craniofacial neuralgia: guidelines from the Spanish Society of Neurology and the Spanish Society of Neurosurgery
Por:
Belvis, R, Irimia, P, Seijo-Fernandez, F, Paz, J, Garcia-March, G, Santos-Lasaosa, S, Latorre, G, Gonzalez-Oria, C, Rodriguez, R, Pozo-Rosich, P, Lainez, JM
Publicada:
1 ene 2021
Resumen:
Introduction: Numerous invasive and non-invasive neuromodulation devices have been developed and applied to patients with headache and neuralgia in recent years. However, no updated review addresses their safety and efficacy, and no healthcare institution has issued specific recommendations on their use for these 2 conditions.
Methods: Neurologists from the Spanish Society of Neurology's (SEN) Headache Study Group and neurosurgeons specialising in functional neurosurgery, selected by the Spanish Society of Neurosurgery (SENEC), performed a comprehensive review of articles on the MEDLI NE database addressing the use of the technique in patients with headache and neuralgia.
Results: We present an updated review and establish the first set of consensus recommendations of the SEN and SENC on the use of neuromodulation to treat headache and neuralgia, analysing the current levels of evidence on its effectiveness for each specific condition.
Conclusions: Current evidence supports the indication of neuromodulation techniques for patients with refractory headache and neuralgia (especially migraine, cluster headache, and trigeminal neuralgia) selected by neurologists and headache specialists, after pharmacological treatment options are exhausted. Furthermore, we recommend that invasive neuromodulation be debated by multidisciplinary committees, and that the procedure be performed by teams of neurosurgeons specialising in functional neurosurgery, with acceptable rates of morbidity and mortality. (C) 2020 Sociedad Espanola de Neurologia. Published by Elsevier Espana, S.L.U.
Filiaciones:
Belvis, R:
Hosp Santa Creu & Sant Pau, Barcelona, Spain
Irimia, P:
Clin Univ Navarra, Pamplona, Spain
Seijo-Fernandez, F:
Ctr Med Asturias, Oviedo, Spain
Paz, J:
Hosp Univ La Paz, Madrid, Spain
Garcia-March, G:
Hosp Clin Univ, Valencia, Spain
Santos-Lasaosa, S:
Hosp Clin Univ Lozano Blesa, Zaragoza, Spain
Latorre, G:
Hosp Univ Fuenlabrada, Madrid, Spain
Gonzalez-Oria, C:
Hosp Univ Virgen del Rocio, Seville, Spain
Rodriguez, R:
Hosp Santa Creu & Sant Pau, Barcelona, Spain
Pozo-Rosich, P:
Hosp Valle De Hebron, Barcelona, Spain
Lainez, JM:
Hosp Clin Univ, Valencia, Spain
gold, Green Published
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