Migraine surgery : a clinical guide to theory and practice / Thomas Muehlberger.
Muehlberger, Thomas, author.
2018
RC392
Available Online

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Title Migraine surgery : a clinical guide to theory and practice / Thomas Muehlberger.
Author Muehlberger, Thomas, author.
ISBN 9783319781174 (electronic book)
3319781170 (electronic book)
9783319781167
3319781162
DOI https://doi.org/10.1007/978-3-319-78117-4
Published Cham, Switzerland : Springer, 2018.
Language English
Description 1 online resource
Item Number 10.1007/978-3-319-78117-4 doi
Call Number RC392
Dewey Decimal Classification 616.8/4912
Summary Migraine surgery is the only existing treatment option that can lead to a permanent symptomatic improvement. Surgical techniques and advances in the understanding of the underlying mechanisms are evolving rapidly. This book intends to familiarise surgeons with the concept of migraine headaches and explains the surgical deactivation of trigger sites, which consists of much more than the decompression of pericranial nerves. The traditional notion of the brain as the sole origin of migraine is supplanted by a concept where the alteration of afferent signals in conjunction with peripheral and central sensitization can trigger a migraine attack. Migraine surgery targets the crucial role of extracranial tissues in the genesis of migraine which is corroborated by substantial clinical, anatomical and pathophysiological evidence.
Bibliography, etc. Note Includes bibliographical references and index.
Access Note Access limited to authorized users.
Digital File Characteristics text file PDF
Source of Description Online resource; title from PDF title page (viewed July 2, 2018).
Available in Other Form Migraine surgery.
Linked Resources Online Access
Record Appears in Online Resources > Ebooks
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Intro; Contents; 1: Introduction; References; 2: What Is Migraine?; 2.1 Prevalence and Costs; 2.2 With or Without Aura; 2.3 Episodic and Chronic; 2.4 Tension-Type Headache; 2.5 Triggers; 2.5.1 Triggers as Precipitants; 2.5.2 Myofascial Trigger Points; 2.5.3 Surgical Trigger Sites; 2.5.4 What Triggers Trigger; 2.6 Medication; 2.7 Classification; References; 3: Myths and Misperceptions; 3.1 Migraine Gene; 3.2 Cure; 3.3 Neuroimaging; 3.4 Difficult Patients; 3.5 Menstrual Migraine; References; 4: Pathophysiology of Migraine; 4.1 Jigsaw Puzzle; 4.2 Cortical Spreading Depression.

4.3 Trigeminal Activation and Sensitization4.4 Neurogenic Inflammation; 4.5 Blood Vessels; References; 5: History of Migraine Surgery; 5.1 Prescientific Times; 5.2 Evolving Theories; 5.3 Diagnostic Problems; 5.4 Arterial Surgery; 5.5 Autonomic Nerve Surgery; 5.6 Afferent Nerve Surgery; References; 6: How Does Migraine Surgery Work?; 6.1 Trigeminal Nerve; 6.2 Dural Innervation; 6.2.1 Referred Pain and Axon Reflex; 6.3 Inside-Out or Outside-In; 6.3.1 Transcranial Interactions; 6.3.2 Neck Pain and Convergence; 6.3.3 Pericranial Pain; 6.3.3.1 Nummular Headache.

6.3.3.2 Trochleitis6.3.3.3 Ice-Cream Headache; 6.4 Ear Pain and Vertigo; 6.5 Outside-In and Inside-Out; References; 7: Current Evidence; 7.1 Outcome Measure and Index; 7.2 Clinical Studies; 7.3 Anatomical Studies; 7.4 Sham Surgery; References; 8: Controversy; 8.1 Serendipity; 8.2 Placebo; 8.3 Objections; 8.4 Denial; 8.5 Neuromodulation; 8.6 Progress; References; 9: Patient Selection; 9.1 Trigger Sites; 9.2 Treatment-Refractory Migraine; 9.3 Pediatric Patients; 9.4 Neuralgias; 9.4.1 Terminology; 9.4.2 Supraorbital Neuralgia; 9.4.3 Occipital Neuralgia.

9.4.4 Auriculotemporal Neuralgia9.5 Cervicogenic Headache; References; 10: Botulinum Toxin; 10.1 Botulinum Toxin and Headaches; 10.1.1 Episodic or Chronic; 10.1.2 Imploding or Exploding; 10.2 Preempt; 10.3 Peripheral and Central Mechanisms; 10.4 Selection of Injection Sites; 10.4.1 Forehead; 10.4.2 Temple; 10.4.3 Neck; 10.4.4 Test or No Test; 10.4.5 Adverse Events; References; 11: Forehead Surgery; 11.1 Corrugator; 11.1.1 Anatomy; 11.1.2 Innervation; 11.2 Supraorbital Rim; 11.2.1 Supraorbital Nerve; 11.2.2 Supratrochlear Nerve; 11.3 Surgical Techniques; 11.3.1 Endoscopic.

11.3.2 Transpalpebral11.3.3 Denervation; References; 12: Temple Surgery; 12.1 Zygomaticotemporal Nerve; 12.1.1 Anatomy; 12.1.2 Surgical Techniques; 12.1.2.1 Endoscopic; 12.1.2.2 Temporal; 12.1.2.3 Transpalpebral; 12.2 Auriculotemporal Nerve; 12.2.1 Anatomy; 12.2.2 Decompression; 12.3 Superficial Temporal Artery; 12.3.1 Anatomy; 12.3.2 Occlusion; 12.4 Site Selection; References; 13: Neck Surgery; 13.1 Greater Occipital Nerve; 13.1.1 Anatomy; 13.1.2 Decompression; 13.2 Lesser Occipital Nerve; 13.2.1 Anatomy; 13.2.2 Decompression; 13.2.3 Greater Auricular Nerve.

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