IF 3.2 2区 医学 Q2 CLINICAL NEUROLOGY
Alexandra N Cocores, Liza Smirnoff, Guy Greco, Ricardo Herrera, Teshamae S Monteith
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引用次数: 0

摘要

综述目的:本文回顾了目前可用于头痛治疗的神经调控技术,重点介绍了治疗偏头痛和三叉神经自律性头痛的无创设备的最新进展:目前经美国食品与药物管理局(FDA)批准的治疗偏头痛的非侵入性设备包括经皮眶上和颅上神经刺激、单脉冲经颅磁刺激(sTMS)、枕外同时和三叉神经刺激(eCOT-NS)、远程电神经调控(REN)和非侵入性迷走神经刺激(nVNS),其适应症包括偏头痛和三叉神经自律性头痛。正在探索用于偏头痛的新兴非侵入性技术包括经颅直流电刺激(tDCS)、动能振荡刺激(KOS)和耳穴经皮迷走神经刺激(at-VNS)。除原发性头痛外,非侵入性神经调节疗法还被用于研究抑郁症等并发症。对于主要患有偏头痛和三叉神经自律性头痛的患者来说,无创神经调控设备仍然是一种安全、耐受性良好且有效的疗法。要确定该疗法对其他头痛疾病和并发症的疗效,还需要不断进行研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Update on Neuromodulation for Migraine and Other Primary Headache Disorders: Recent Advances and New Indications.

Purpose of review: Neuromodulation techniques currently available for headache management are reviewed in this article, with a focus on recent advances in non-invasive devices for migraine and trigeminal autonomic cephalalgias.

Recent findings: The currently available FDA-cleared non-invasive devices for migraine include transcutaneous supraorbital and supratrochlear nerve stimulation, single-pulse transcranial magnetic stimulation (sTMS), external concurrent occipital and trigeminal neurostimulation (eCOT-NS), remote electrical neuromodulation (REN), and non-invasive vagal nerve stimulation (nVNS) with indications for migraine and trigeminal autonomic cephalalgias. Emerging non-invasive techniques being explored for use in migraine include transcranial direct current stimulation (tDCS), kinetic oscillation stimulation (KOS), and auricular transcutaneous vagal nerve stimulation (at-VNS). In addition to primary headache, non-invasive neuromodulation is being investigated for comorbid conditions such as depression. Non-invasive neuromodulation devices remain a safe, well-tolerated, and effective therapy for patients with primarily migraine and trigeminal autonomic cephalalgias. Ongoing research is needed to determine efficacy in other headache disorders and comorbid conditions.

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来源期刊
Current Pain and Headache Reports
Current Pain and Headache Reports CLINICAL NEUROLOGY-
CiteScore
6.10
自引率
2.70%
发文量
91
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.
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