Incidence of Migraine Headaches
- 8-12% of the U.S. population
- 112 million workdays lost.
- $14 Billion lost productivity
Migraine Headache Surgery Effectively Eliminates or Reduces Migraine Headaches
- Randomized double-blinded placebo (sham surgery) controlled clinical trial demonstrated surgical efficacy.
- 84% experienced at least a 50% reduction in migraine
- 57% experienced complete elimination of migraine headaches at 1 year after surgery.
- Surgery was effective in all trigger points tested:
- Frontal
- Temporal
- Occipital
Who is a candidate?
- Migraine headache diagnosed by a neurologist or pain specialist, and
- Not adequately treated by existing medications, or
- Migraine medications cause undesirable side-effects, or
- Frequency or severity of migraine headaches (even with effective medication) intereferes with daily life, and
- A trigger point is identifiable (e.g. frontal, temporal, occipital, nasal).
How Is Migraine Surgery Performed?
- Outpatient procedure (in most cases).
- The triggering nerve is decompressed (trigeminal, supra-orbital, supra-trochlear, and/or greater occipital) or divided (zygomatico-temporal).
- Decompression is conceptually similar to carpal tunnel surgery.
- Migraine Surgery can be minimally invasive:
- Can be done endoscopically for the supra-orbital, supra-trochlear and zygomatico-temporal.
- Can be performed endo-nasally for naso-septal trigger points.
- Migraine Operations are similar in approach to endoscopic brow lift and/or septoplasty.
- Open decompression via small access incisions hidden at the hairline for the occipital trigger point.
- Recovery is often 1-2 weeks with some improvement seen quickly in many cases.
Current Treatment Strategies Are Often Inadequate
- Triptans (e.g. sumatriptan, Imitrex) are often effective.
- Problems with triptans include delay (pain) from time of administration to time of medication effect.
- Side Effects:
- Drowsiness
- Weight Gain
- Hair Loss
- Contraindicated in:
- Pregnancy
- Coronary Artery Disease
- History of Stroke
FOR MORE INFORMATION:
77 Van Ness Ave, Suite 302
San Francisco, CA 94102
(415) 379-9015
Info@PacificMigraine.com
Certified by the American Board of Plastic Surgery
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