{"id":11930,"date":"2016-06-10T10:30:06","date_gmt":"2016-06-10T09:30:06","guid":{"rendered":"https:\/\/www.neurocirugiabarcelona.com\/patologias\/cirugia-de-dolor\/cefalea\/"},"modified":"2019-02-14T17:05:57","modified_gmt":"2019-02-14T16:05:57","slug":"headache","status":"publish","type":"page","link":"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/surgery-for-chronic-pain\/headache\/","title":{"rendered":"Headache"},"content":{"rendered":"<div class=\"one_half\"><br \/>\n<strong>PRIMARY HEADACHES<\/strong><\/p>\n<p>Headaches with no known cause.<\/p>\n<ul>\n<li>Migraine<\/li>\n<li>Tension headache<\/li>\n<li>Cluster headache<\/li>\n<li>Paroxysmal hemicrania<\/li>\n<li>SUNCT syndrome<\/li>\n<li>Essential throbbing headache<\/li>\n<li>Chronic Daily Headache<\/li>\n<li>Cough headache<\/li>\n<li>Benign physical exercise headache<\/li>\n<li>Benign coital headache<\/li>\n<li>Headache associated with cranial trauma<\/li>\n<\/ul>\n<p><\/div>\n<div class=\"one_half last\"><br \/>\n<strong>SECONDARY HEADACHES<\/strong><\/p>\n<p>Headaches with a known cause.<\/p>\n<ul>\n<li>Subarachnoid haemorrhage headache<\/li>\n<li>Giant cell arteritis<\/li>\n<li>Occipital or Arnold&#8217;s neuralgia<\/li>\n<li>Glossopharyngeal neuralgia (Wilfred-Harris syndrome)<\/li>\n<li>Atypical facial neuralgia<\/li>\n<li>Ophthalmoplegia dolorosa recurrens (Tolosa Hunt syndrome)<\/li>\n<li>Trigeminal neuralgia<\/li>\n<li>Neuropathic facial pain<\/li>\n<\/ul>\n<p><\/div>\n<div class=\"break clearfix\">&nbsp;<\/div>\n<p>&nbsp;<\/p>\n<h2>Types of headaches where there is the possibility of surgical treatment<\/h2>\n<p>In the event that pharmacological treatment is not effective and the headache has become chronic, a surgical solution may be available in the following cases:<br \/>\nMigraine, Cluster headache, Paroxysmal hemicrania, Neuropathic facial pain (after tooth extraction, stroke, trigeminal neuralgia surgery, facial traumatism, etc.), atypical facial pain, occipital or Arnold&#8217;s neuralgia, glossopharyngeal neuralgia, cervicogenic headache, trigeminal neuralgia, continuous hemicranea, post-traumatic headache, C2 mediated headaches, transformed migraine, SUNCT, occipital pain following surgery, herpes zoster facial pain.<br \/>\n<div class=\"break clearfix\">&nbsp;<\/div><\/p>\n<p><div class=\"one_fourth\"><a href=\"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/surgery-for-chronic-pain\/headache\/surgical-treatment-of-migraine\/\" target=\"\" style=\"color:#fff\"><div class=\"pmc-button pmc-round-button\" style=\"background-color:#ff505a;border-color:#a01e3c\">Surgical treatment of migraine<\/div><\/a><a href=\"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/surgery-for-chronic-pain\/headache\/surgical-treatment-of-atypical-facial-pain-atypical-neuralgia\/\" target=\"\" style=\"color:#fff\"><div class=\"pmc-button pmc-round-button\" style=\"background-color:#ff505a;border-color:#a01e3c\">Surgical treatment of atypical facial pain \/ atypical neuralgia<\/div><\/a><a href=\"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/surgery-for-chronic-pain\/headache\/surgical-treatment-of-occipital-or-arnolds-neuralgia\/\" target=\"\" style=\"color:#fff\"><div class=\"pmc-button pmc-round-button\" style=\"background-color:#ff505a;border-color:#a01e3c\">Surgical treatment of Occipital or Arnold\u2019s neuralgia<\/div><\/a><\/div><div class=\"one_fourth\"><a href=\"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/surgery-for-chronic-pain\/headache\/surgical-treatment-of-cluster-headache\/\" target=\"\" style=\"color:#fff\"><div class=\"pmc-button pmc-round-button\" style=\"background-color:#ff505a;border-color:#a01e3c\">Surgical treatment of cluster headache<\/div><\/a><a href=\"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/surgery-for-chronic-pain\/headache\/surgical-treatment-of-glossopharyngeal-neuralgia\/\" target=\"\" style=\"color:#fff\"><div class=\"pmc-button pmc-round-button\" style=\"background-color:#ff505a;border-color:#a01e3c\">Surgical treatment of glossopharyngeal neuralgia<\/div><\/a><\/div><div class=\"one_fourth\"><a href=\"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/surgery-for-chronic-pain\/headache\/surgical-treatment-of-paroxysmal-hemicrania\/\" target=\"\" style=\"color:#fff\"><div class=\"pmc-button pmc-round-button\" style=\"background-color:#ff505a;border-color:#a01e3c\">Surgical treatment of Paroxysmal hemicrania<\/div><\/a><a href=\"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/surgery-for-chronic-pain\/headache\/surgical-treatment-of-cervicogenic-headache\/\" target=\"\" style=\"color:#fff\"><div class=\"pmc-button pmc-round-button\" style=\"background-color:#ff505a;border-color:#a01e3c\">Surgical treatment of cervicogenic headache<\/div><\/a><\/div><div class=\"one_fourth last\"><a href=\"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/surgery-for-chronic-pain\/headache\/surgical-treatment-of-neuropathic-facial-pain\/\" target=\"\" style=\"color:#fff\"><div class=\"pmc-button pmc-round-button\" style=\"background-color:#ff505a;border-color:#a01e3c\">Surgical treatment of neuropathic facial pain<\/div><\/a><a href=\"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/surgery-for-chronic-pain\/trigeminal-neuralgia\/\" target=\"\" style=\"color:#fff\"><div class=\"pmc-button pmc-round-button\" style=\"background-color:#ff505a;border-color:#a01e3c\">Trigeminal neuralgia<\/div><\/a><\/div><br \/>\n<div class=\"break clearfix\">&nbsp;<\/div><\/p>\n<h2>Surgical techniques for headache<\/h2>\n<p>These are the main surgical techniques for headache:<\/p>\n<h3 style=\"padding-left: 30px;\">Major and minor occipital nerve stimulation<\/h3>\n<p style=\"padding-left: 30px;\">This is a simple treatment, performed under general anaesthetic, consisting of the placement of subcutaneous electrodes connected to a generator at a level of the major and minor occipital nerve. Its efficacy depends on the type of headache, but in general, the patient has a 60% possibility of improvement .<\/p>\n<h3 style=\"padding-left: 30px;\">Radiofrequency of the pterygopalatine ganglion<\/h3>\n<p style=\"padding-left: 30px;\">This procedure is performed under local anaesthesia and minimum sedation and consists of ablating the pterygopalatine ganglion involved in the headache. The possibilities of improvement are 70%.<\/p>\n<h3 style=\"padding-left: 30px;\">Stimulation of the cerebral cortex for neuropathic pain.<\/h3>\n<p style=\"padding-left: 30px;\">This procedure is only indicated in patients with intense neuropathic pain (facial or in other places of the body) that is refractory to medication. It consists on a surgery in two phases, as it requires a test phase (first surgery) to determine whether cerebral stimulation is effective for the patient. If so, the stimulus generator is implanted. It is effective in 60% of patients.<\/p>\n<h3 style=\"padding-left: 30px;\">Mullan technique<\/h3>\n<p style=\"padding-left: 30px;\">It\u2019s indicated for patients with disabling trigeminal neuralgia in spite of medication.<\/p>\n<p style=\"padding-left: 30px;\">This is also known as balloon microcompression of Gasser&#8217;s Ganglion. It is a percutaneous technique, under general anaesthetic, offering a 70% probability of improvement of the disease. The complication rate is very low.<\/p>\n<h3 style=\"padding-left: 30px;\">Jannetta technique<\/h3>\n<p style=\"padding-left: 30px;\">It\u2019s indicated for patients with disabling trigeminal neuralgia in spite of medication. It is complex surgery under general anaesthetic. The possibility being pain-free with this technique is 90%<\/p>\n<p><div class=\"break clearfix\">&nbsp;<\/div><br \/>\n&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>PRIMARY HEADACHES Headaches with no known cause. Migraine Tension headache Cluster headache Paroxysmal hemicrania SUNCT syndrome Essential throbbing headache Chronic Daily Headache Cough headache Benign physical exercise headache Benign coital headache Headache associated with cranial trauma SECONDARY HEADACHES Headaches with a known cause. Subarachnoid haemorrhage headache Giant cell arteritis Occipital or Arnold&#8217;s neuralgia Glossopharyngeal neuralgia &#8230;<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":11918,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.11 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Headache - Neurocirug\u00eda Barcelona<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.neurocirugiabarcelona.com\/patologias\/cirugia-de-dolor\/cefalea\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Headache - Neurocirug\u00eda Barcelona\" \/>\n<meta property=\"og:description\" content=\"PRIMARY HEADACHES Headaches with no known cause. Migraine Tension headache Cluster headache Paroxysmal hemicrania SUNCT syndrome Essential throbbing headache Chronic Daily Headache Cough headache Benign physical exercise headache Benign coital headache Headache associated with cranial trauma SECONDARY HEADACHES Headaches with a known cause. 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Migraine Tension headache Cluster headache Paroxysmal hemicrania SUNCT syndrome Essential throbbing headache Chronic Daily Headache Cough headache Benign physical exercise headache Benign coital headache Headache associated with cranial trauma SECONDARY HEADACHES Headaches with a known cause. 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