Neuromodulation in headache and craniofacial neuralgia : guidelines from the Spanish Society of Neurology and the Spanish Society of Neurosurgery Neuromodulación en cefaleas y neuralgias craneofaciales: Guía de la Sociedad Española de Neurología y de la Sociedad Española de Neurocirugía
Belvís, Roberto (Institut d'Investigació Biomèdica Sant Pau)
Irimia, Pablo (Clínica Universidad de Navarra)
Seijo-Fernández, F. (Centro Médico Asturias)
Paz, José (Hospital Universitario La Paz (Madrid))
García March, Guillermo (Hospital Clínico Universitario)
Santos Lasaosa, Sonia (Hospital Clínico Universitario "Lozano Blesa" de Zaragoza)
Latorre, Germán (Hospital Universitario de Fuenlabrada ( Madrid))
González-Oria, Carmen (Hospital Universitario Virgen del Rocío (Sevilla, Andalusia))
Rodríguez, Rodrigo (Institut d'Investigació Biomèdica Sant Pau)
Pozo-Rosich, Patricia (Hospital Universitari Vall d'Hebron)
Lainez Andres, Jose Miguel (Hospital Clínico Universitario)

Date:	2021
Abstract:	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 MEDLINE 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.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Language:	Castellà
Document:	Article ; recerca ; Versió publicada
Subject:	Neuromodulation ; Stimulation ; Headache ; Cluster headache ; Neuralgia ; Migraine
Published in:	Neurología, Vol. 36 Núm. 1 (enero 2021) , p. 61-79, ISSN 1578-1968

DOI: 10.1016/j.nrl.2020.04.022
PMID: 32718873

19 p, 1.9 MB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles