Nummular Headache Successfully Managed With Percutaneous Electrical Nerve Stimulation: A Case Report

2021 ◽  
Author(s):  
Samuel Hall ◽  
Girish Vajramani
Keyword(s):  
Case Report ◽  
Nerve Stimulation ◽  
Electrical Nerve Stimulation ◽  
Nummular Headache

scholarly journals Accupuncture-like transcutaneous electrical nerve stimulation therapy success using a commercially available unit 8 years post-radiation for xerostomia: a case report

2017 ◽  
Vol 16 (2) ◽  
pp. 217-220 ◽  
Author(s):  
Austin J. Iovoli ◽  
Anurag K. Singh
Keyword(s):  
Case Report ◽  
Nerve Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Self Administration ◽  
Electrical Nerve Stimulation ◽  
Quality Of Life Scale ◽  
Life Scale ◽  
Related Quality ◽  
Post Radiation ◽  
At Home

AbstractBackgroundAccupuncture-like transcutaneous electrical nerve stimulation (ALTENS) therapy has been shown in prospective studies to be effective in the treatment of radiation-induced xerostomia. Those studies treated patients within 27 months from end of radiation with ALTENS delivered in the clinic using a Codetron unit. However, that unit is no longer produced and there is limited data on success of ALTENS when delivered at home.MethodsA 50-year old man with xerostomia, 8 years post-radiation for T4N1 squamous cell carcinoma of the tonsillar fossa, was given ALTENS with a currently commercially available unit from Girish Surgical. He used the unit at home, 20 minutes daily for 8 weeks.ResultsAfter 8 weeks of ALTENS therapy the patient saw a reduction in the Self-Reported University of Michigan Xerostomia-Related Quality of Life Scale from 20 to 1.ConclusionThis case report demonstrates (1) the Girish Surgical unit is effective, (2) self-administration of ALTENS in patients who cannot come to clinic regularly may be practical and (3) ALTENS can still offer durable benefit to patients even 8 years after chemoradiation therapy.

scholarly journals Sphenopalatine Ganglion Electrical Nerve Stimulation Implant for Intractable Facial Pain

2015 ◽  
Vol 3;18 (3;5) ◽  
pp. E403-E409
Author(s):  
Foad Elahi
Keyword(s):  
Case Report ◽  
Pain Relief ◽  
Local Anesthetic ◽  
Nerve Stimulation ◽  
Facial Pain ◽  
Pain Clinic ◽  
Sphenopalatine Ganglion ◽  
Electrical Nerve Stimulation ◽  
Persistent Idiopathic Facial Pain ◽  
Electrical Neuromodulation

Persistent idiopathic facial pain can be extremely difficult and significantly challenging to manage for the patient and the clinician. Pharmacological treatment of these painful conditions is not always successful. It has been suggested that the autonomic reflex plays an important role in the pathophysiology of headaches and facial neuralgia. The key structure in the expression of cranial autonomic symptoms is the sphenopalatine ganglion (SPG), also known as the pterygopalatine ganglion. The role of the SPG in the pathophysiology of headaches and facial pain has become clearer in the past decade. In this case report, we describe a 30-year-old woman with insidious onset of right facial pain. She was suffering from daily pain for more than 9 years prior to her visit at the pain clinic. Her pain was constant with episodic aggravation without a predisposing trigger factor. The patient was evaluated by multiple specialties and tried multimodal therapy, which included antiepileptic medications, with minimal pain relief. A SPG block using short-acting local anesthetic provided significant temporary pain relief. The second and third attempt of SPG block using different local anesthetic medications demonstrated the same responses. After a thorough psychological assessment and ruling out the presence of a correctable cause for the pain, we decided to proceed with SPG electrical neuromodulation. The patient reported significant pain relief during the electrical nerve stimulation trial. The patient underwent a permanent implant of the neurostimulation electrode in the SPG region. The patient was successfully taken off opioid medication and her pain was dramatically responsive during a 6-month follow-up visit. In this article we describe the SPG nerve stimulation and the technical aspect of pterygopalatine fossa electrode placement. The pterygoplatine fossa is an easily accessible location. This case report will be encouraging for physicians treating intractable facial pain by demonstrating a novel therapeutic option. This report shows a minimally invasive approach to the SPG. Key words: Sphenopalatine ganglion, persistent idiopathic facial pain, electrical neuromodulation

Ultrasound-Guided Percutaneous Electrical Nerve Stimulation of the Radial Nerve for a Patient With Lateral Elbow Pain: A Case Report With a 2-Year Follow-up

2019 ◽  
Vol 49 (5) ◽  
pp. 347-354 ◽  
Author(s):  
José L. Arias-Buría ◽  
Joshua A. Cleland ◽  
Youssef R. El Bachiri ◽  
Gustavo Plaza-Manzano ◽  
César Fernández-de-las-Peñas
Keyword(s):  
Case Report ◽  
Nerve Stimulation ◽  
Radial Nerve ◽  
Ultrasound Guided ◽  
Elbow Pain ◽  
Electrical Nerve Stimulation ◽  
Lateral Elbow Pain ◽  
Lateral Elbow ◽  
Stimulation Of
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