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Trigeminal autonomic cephalalgias: beyond the conventional treatments.

Miller, S; Matharu, M; (2014) Trigeminal autonomic cephalalgias: beyond the conventional treatments. Curr Pain Headache Rep , 18 (8) , Article 438. 10.1007/s11916-014-0438-z. Green open access

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Abstract

The trigeminal autonomic cephalalgias include cluster headache, paroxysmal hemicrania, short-lasting unilateral neuralgiform headache attacks, and hemicrania continua. While the majority responds to conventional pharmacological treatments, a small but significant proportion of patients are intractable to these treatments. In these cases, alternative choices for these patients include oral and injectable drugs, lesional or resectional surgery, and neurostimulation. The evidence base for conventional treatments is limited, and the evidence for those used beyond convention is more so. At present, the most evidence exists for nerve blocks, deep brain stimulation, occipital nerve stimulation, sphenopalatine ganglion stimulation in chronic cluster headache, and microvascular decompression of the trigeminal nerve in short-lasting unilateral neuralgiform headache attacks.

Type: Article
Title: Trigeminal autonomic cephalalgias: beyond the conventional treatments.
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1007/s11916-014-0438-z
Publisher version: http://dx.doi.org/10.1007/s11916-014-0438-z
Language: English
Additional information: This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
Keywords: Autonomic Nerve Block, Deep Brain Stimulation, Evidence-Based Medicine, Humans, Microvascular Decompression Surgery, Serotonin Receptor Agonists, Treatment Outcome, Trigeminal Autonomic Cephalalgias
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Brain Repair and Rehabilitation
URI: https://discovery.ucl.ac.uk/id/eprint/1435172
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