What is included in the procedure planning prior to occipital nerve stimulation?

Updated: Oct 11, 2018
  • Author: Antonios Mammis, MD; Chief Editor: Jonathan P Miller, MD  more...
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Answer

Prior to implantation, a trial is performed in which leads are placed under the skin and are connected to an external battery. The trial is performed under sedation, and the patient is discharged the same day. Afterward, the patient tries the therapy for 4–7 days and keeps a detailed pain diary.

A permanent device is implanted only if the patient reports significant improvements in pain and quality of life. 

Positive response to transcutaneous electric nerve stimulation is also a good predictor for repsonse to ONS for treatment of occipital headache. [9]


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