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Case Reports
. 2021 Jan 6;21(2):415-420.
doi: 10.1515/sjpain-2020-0135. Print 2021 Apr 27.

Updated management of occipital nerve stimulator lead migration: case report of a technical challenge

Jose De Andres  1   2 , Giuseppe Luca Formicola  3 , Ruben Rubio-Haro  4 , Carmen De Andres-Serrano  5
Affiliations
Free article
Case Reports

Updated management of occipital nerve stimulator lead migration: case report of a technical challenge

Jose De Andres et al. Scand J Pain. .
Free article

Abstract

Electrode migration is a challenge, even with adequate anchoring techniques, due to the high mechanical stress on components of occipital nerve stimulation (ONS) for headache disorders. When a lead displacement of an ONS implant is diagnosed, there are currently different approaches described for its management. Nevertheless current neuromodulation devices are designed like a continuum of components without any intermediate connector, and if a lead displacement is diagnosed, the solution is the complete removal of the electrode from its placement, and its repositioning through an ex-novo procedure. The described technique can allow ONS leads to be revised while minimizing the need to reopen incisions over the IPG, thus improving patients' intraoperative and postoperative discomfort, shortening surgical time and medical costs, reasonably reducing the incidence of infective postoperative complications.

Keywords: cervicogenic headache; complication; cranial nerves; lead migration; needle with peel-away sheath; occipital nerve stimulation; occipital neuralgia; peripheral nerve stimulation.

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