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Bioelectronics Migraine Device Study

  Headaches are a common human malady and present in many forms that range anywhere from a minor nuisance to that of being debilitating. One of the more severe headache forms is that of migraines. Being a true neurologic disorder, this type of headache is associated with head pain that is both disruptive and causes Read More…

OR Snapshots – Greater Occipital Nerve Decompression

  Migraine surgery has become popular for the few select headache patients who fulfill specific selection criteria. Having reproducible headache symptoms that correlate to specific cranial nerve locations makes the concept of nerve decompression potentially successful. Based on the premise the nerve is being pinched as the initiator of the headache attacks serves as the Read More…

Outcome Assessment of Frontal Migraine Surgery

  The treatment of specific types of migraine headaches has been revolutionized by the use of Botox injections and migraine surgery. While not always producing a cure, both types of treatments can produce a significant reduction in symptoms that is sustainable. The basis for migraine surgery is essentially the deactivation of a trigger which for Read More…

Lateral Approach to Temporal Migraine Surgery

Temporal headaches are one of the four known regional migraine areas. The etiology is compression of the zygomaticotemporal nerve (second division of the trigeminal nerve), the auriculotemporal nerve (third division of the trigeminal nerve) or both. Decompression or avulsion of these nerves is a known effective treatment in the properly qualified temporal migraine surgery patient. Read More…

Arterial Ligation in Temporal Migraine Surgery

  While everyone knows what a migraine headache is, determining its exact cause in many patients is not so obvious. Recent advances in migraine care have been to determine if there is a specific extracranial cause that triggers the migraine. The focus has been on nerve compression of certain sensory nerves where they exit from Read More…

Case Study – Temporal Muscle Reduction Migraine Surgery

  Background: There are a wide variety of types of headaches of which migraines make up some of the most disabling. While the exact cause of many migraine headaches is not precisely known, certain types of migraines are known to occur from peripheral compression of certain cranial nerves. This has led to a variety of Read More…

Technical Strategies – Doppler Probe in Temporal Migraine Surgery

  The cause of certain migraine headaches is now well known be caused by peripheral compression of cranial sensory nerves usually caused by muscular contraction. This compression causes nerve irritation and serves as the nidus for the initiation of the migraine. In the auriculotemporal nerve migraine trigger area, its close association with the superficial temporal Read More…

Technical Strategies in Plastic Surgery – Fat Grafting in Migraine Surgery

  Contemporary migraine surgery for the treatment of perpheral triggers involves decompression of the involved nerves. The most common involved nerves include the supraorbital, supratrochlear and the greater and lesser occipital nerves. (the zygomaticotemporal and auriculotemporal nerves are avulsed so they are excluded)  The success of nerve decompression depends on adequate release of the enveloping Read More…

The Success of Temporal Migraine Headache Surgery

  Certain types of migraine headaches have been attributed to compression of the extracranial portions of the trigeminal nerves. One of the four main types of peripheral compression migraines are temporal-based which result from the temporal muscle squeezing the zygomaticotemporal branch of the trigeminal nerve. (there could also be a concomitant effect of a tight Read More…

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