Category Archives: Exceter 2006

Establishing the Role of Deep Brain Stimulation in the Treatment of Intractable Cluster Headache

T. Aziz, S.L.F. Owen & P. Davies

Cluster headache is one of the most painful of the primary headache syndromes. Respite from the pain comes for months or years in the episodic form of the condition. If there are cluster headache attacks for more than 1 year without remission, or with remissions lasting less than 1 month, it is called chronic cluster headache. This form makes up about 15% of cluster headache. It occurs de novo, primary chronic cluster headache, in about 10% of cases and is secondary to the episodic form in about 5%. The prognosis of the condition has not been studied in detail but J. Keith Campbell summarised it as: “chronic cluster headache is often difficult to treat medically and, once established, tends to persist for years”.
Not surprisingly various invasive and surgical procedures have been tried. In this paper we will briefly look at some of the surgical options and concentrate on how we might establish the role for deep brain stimulation (DBS) – a procedure that is well established in our unit.

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Program 2006

Programme 2006, 16th annual ADMA meeting in Exeter
The Royal Clarence Hotel

Establishing the Role of Deep Brain Stimulation in the Treatment of Intractable Cluster Headache. T. Aziz, S.L.F. Owen & P. Davies

Characterization of capsaicin-induced neurogenic inflammation in intact human skin in vivo. B. van der Schueren, F.H. Vanmolkot, S.A. Kane, S.R. Sinclair, I. de Lepeleire & J.N. de Hoon

Orientation discrimination and contrast detection thresholds in migraine for cardinal and oblique angles. M.S. Tibber, A. Guedes & A.J. Shepherd

Current and potential pharmacological targets for migraine therapy. S. Mehrotra, S. Gupta, C.M. Villalón, D. Centurión, P.R. Saxena & A. Maassenvandenbrink

Potential role of sex steroids in migraine pathophysiology. S. Gupta, S. Mehrotra, C.M. Villalón, R. De Vries, I.M. Garrelds, P.R. Saxena & A. Maassenvandenbrink.

Screening for migraine at work and subsequent treatment: First results on feasibility. J. Van Bokhorst, S. Mérelle, J. Passchier, J. Van Busschbach & E.G.M. Couturier

What does the patient want from headache services? A. Turner

Patients and practitioners researching migraine together. A. Mitchell

Spontaneous intracranial hypotension I. Imam & S. Weatherby

Should we replace the term “Tension-Type Headache? A discussion paper. J.N. Blau

The delivery of headache services – a perspective from complexity theory. D. Kernick
14th Marcia Wilkinson Lecture: Chocolate, craving and triggering. J.L. van der Zwan