среда, 30 ноября 2011 г.

Implantable Devices Are Not A Panacea, But The Ability To Relieve Migraine Attacks

Implantable Devices Are Not A Panacea, But The Ability To Relieve Migraine Attacks.


An implantable contrivance arcane in the nape of the neck may sorry more headache-free days for occupy with rigorous migraines that don't reciprocate to other treatments, a unfamiliar study suggests. More than 36 million Americans get migraine headaches, which are apparent by ardent pain, sensitivity to light and sound, nausea and vomiting, according to the Migraine Research Foundation 120 mg generic viagra. Medication and lifestyle changes are the first-line treatments for migraine, but not everybody under the sun improves with these measures.



The St Jude Medical Genesis neurostimulator is a short, unsatisfying disrobe that is implanted behind the neck. A battery knapsack is then implanted absent in the body. Activating the weapon stimulates the occipital boldness and can doltish the pain of migraine headache drug ilosone. "There are a adipose number of patients for whom nothing works and whose lives are ruined by the habitually pain of their migraine headache, and this scheme has the potential to help some of them," said mug up author Dr Stephen D Silberstein, big cheese of the Jefferson Headache Center in Philadelphia.



The study, which was funded by design manufacturer St Jude Medical Inc, is slated for display on Thursday at the International Headache Congress in Berlin, and is the largest survey to go steady on the device. The ensemble is now seeking approval for the device in Europe and then plans to present their data to the US Food and Drug Administration for confirmation in the United States.



Researchers tested the altered device in 157 rank and file who had severe migraines about 26 days out of each month. After 12 weeks, those who received the renewed cadency mark had seven more headache-free days per month, compared to one more headache-free lifetime per month seen amidst people in the control group.



Individuals in the device arm did not receive stimulation until after the pre-eminent 12 weeks. Study participants who received the stimulator also reported less rigid headaches and improvements in their je ne sais quoi of life. After one year, 66 percent of forebears in the study said they had worthy or good pain relief.



The pain reduction seen in the bone up did fall short of FDA standards, which tag for a 50 percent reduction in pain. "The figure is invisible to the eye, but not to the touch," said Silberstein. The implantation method involves nearby anesthesia along with conscious sedation so you are awake, but not fully aware.



There may be some calm distress associated with this surgery, he said. Study co-author Dr Joel Saper, come to nothing and commander of Michigan Head Pain and Neurological Institute in Ann Arbor, and a colleague of the advisory billet for the Migraine Research Foundation, said this cure could be an important option for some people with migraines.



And "There were numerous patients who did aid in terms of ass control and quality of life," Saper said. "We don't have any in every case effective therapies for migraine, so we don't ever contemplate everyone to have striking results, but for those few that it works in, it's life-changing".



But, he said, "it is surgical and there are risks to surgery, and there are unknowns such as how want the clobber will last". Risks of the revitalized neurostimulation procedure may include infection and the gubbins can sometimes dislodge.



Saper has not received any compensation from the contraption manufacturer. "Occipital nerve stimulation is a healing of great promise for patients with intractable dyed in the wool migraine," said Dr Richard B Lipton, guide of the Headache Center at Albert Einstein College of Medicine/Montefiore Medical Center in the Bronx and a put up fellow of the Migraine Research Foundation.



He is not attached with the new study. "Eliminating a copious week per month of headaches is a monumental gain for chronic migraine sufferers and translates into big improvements in therapy satisfaction and value of life," he said. "This treatment will be suitable for a huge difference for millions of migraine sufferers with inveterate migraine".



The results do mirror what Lipton has seen in his practice. "This shows that the remedying can give long-lasting migraine sufferers their lives back".



Dr Robert Duarte, leader of the Pain Center at North Shore-Long Island Jewish Health System in Manhasset, NY, said that the redone plot should not be considered a first-line care for migraine, however. "You have occasion for to be evaluated by a headache specialist, and fabricate sure all treatment options are tried before installing a stimulator, but it is an recourse and there is definitely testify that it works," he said.



Duarte is not affiliated with the new study. "It is not a cure, but a curing option that can tone down frequency and intensity of headaches in some people," Duarte added provigil overnite delivery. Doctors can also do a whirl run using an extraneous stimulator to see if it will work before implanting the device, he said.

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