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Unilateral occipital nerve stimulation for bilateral occipital neuralgia: a case report and literature review

Authors Liu A, Jiao Y, Ji H, Zhang Z

Received 20 October 2016

Accepted for publication 20 December 2016

Published 20 January 2017 Volume 2017:10 Pages 229—232

DOI https://doi.org/10.2147/JPR.S125271

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Amy Norman

Peer reviewer comments 2

Editor who approved publication: Dr Michael Schatman

Aijun Liu, Yongcheng Jiao, Huijun Ji, Zhiwen Zhang

Department of Neurosurgery, First Affiliated Hospital of PLA General Hospital, Beijing, People’s Republic of China

Objectives: The aim of this study is to present a case of successful relief of bilateral occipital neuralgia (ON) using unilateral occipital nerve stimulation (ONS) and to discuss the possible underlying mechanisms.
Materials and methods: We present the case of a 59-year-old female patient with severe bilateral ON treated with unilateral ONS. We systematically reviewed previous studies of ONS for ON, discussing the possible mechanisms of ONS in the relief of ON.
Results: The patient reported complete pain relief after consistent unilateral ONS during the follow-up period. The underlying mechanisms may be linked to the relationship between pain and several brain regions, including the pons, midbrain, and periaqueductal gray.
Conclusion: ONS is an effective and safe option for treating ON. Future studies will be required to clarify the mechanisms by which unilateral occipital stimulation provided relief for bilateral neuralgia in this case.

Keywords: occipital neuralgia, neuromodulation, peripheral nerve stimulation

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