Neuromodulation for Headache Management in Pregnancy.

IF 3.2 2区医学 Q2 CLINICAL NEUROLOGY

Current Pain and Headache Reports Pub Date : 2025-01-07 DOI:10.1007/s11916-024-01344-1

Liza Smirnoff, Michelle Bravo, Tayina Hyppolite

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Abstract

Purpose of review: Management of primary headache disorders during pregnancy is limited due to known teratogenicity or unknown safety of many currently available pharmaceutical therapies. Here, we explore the safety and efficacy of non-invasive neuromodulatory devices as another treatment modality for pregnant patients.

Recent findings: There are six FDA-cleared, non-invasive neuromodulatory devices currently available for the management of headache that include remote electrical neuromodulation (REN), noninvasive vagal nerve stimulation (nVNS), external trigeminal nerve stimulation (eTNS), single-pulse transcranial magnetic stimulation (sTMS), and external concurrent occipital and trigeminal neurostimulation (eCOT-NS). Neuromodulatory devices are a safe, effective, and well tolerated non-pharmacological option for migraine and other primary headache disorders. Although evidence of safety and tolerability use in pregnancy is limited, they may serve as a therapeutic alternative or adjunct to improve the care of our pregnant patients.

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妊娠期头痛管理的神经调节。

回顾目的：由于许多现有药物治疗的已知致畸性或未知安全性，妊娠期原发性头痛疾病的管理受到限制。在这里，我们探讨非侵入性神经调节装置作为妊娠患者的另一种治疗方式的安全性和有效性。最近发现：目前有6种经fda批准的无创神经调节装置可用于治疗头痛，包括远程电神经调节（REN）、无创迷走神经刺激（nVNS）、外部三叉神经刺激（eTNS）、单脉冲经颅磁刺激（sTMS）和外部枕神经和三叉神经同步刺激（eCOT-NS）。神经调节装置是一种安全、有效、耐受性良好的非药物治疗偏头痛和其他原发性头痛疾病的选择。尽管在妊娠期使用的安全性和耐受性的证据有限，但它们可以作为一种治疗替代或辅助来改善我们妊娠患者的护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Pain and Headache Reports CLINICAL NEUROLOGY-

CiteScore

6.10

自引率

2.70%

发文量

审稿时长

6-12 weeks

期刊介绍： This journal aims to review the most important, recently published clinical findings regarding the diagnosis, treatment, and management of pain and headache. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care and prevention of pain and headache. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anesthetic techniques in pain management, cluster headache, neuropathic pain, and migraine. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.