Neurology Medical News about occipital peripheral nerve stimulation

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Occipital Neurostimulation-Induced Muscle Spasms: Implications for Lead Placement
Pain Physician, 10/02/09

Hayek SM et al. – For many headache types, occipital peripheral nerve stimulation (ONS) provides significant relief of chronic, frequent, and severe headaches. Though rarely reported, ONS may cause painful muscle spasms that make stimulator use impractical...Lead placement at the level of C1 or C1–2 may cause some patients to have intolerable neck/occipital spasm during neurostimulation. This is the first known published report of technical variation in the location of lead placement, at the nuchal line in a transverse fashion, for ONS. Placing ONS leads at the level of the occipital protuberance appears to eliminate ONS–induced muscle spasm while allowing good paresthesia coverage.

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