Trigeminal autonomic cephalalgias (TAC) is a rare primary headache disorder with challenging and limited treatment options for those unfortunate patients with severe and refractory pain. This article will review the conventional pharmacologic treatments as well as the new neuromodulation techniques designed to offer alternative and less invasive treatments. These techniques have evolved from the treatment of migraine headache, a much more common headache syndrome, and expanded towards application in patients with TAC. Specifically, the article will discuss the targeting of the supratrochlear and supraorbital nerves, both terminal branches of the trigeminal nerve.
Julien Vaisman, Edrick Lopez, Nicholas K Muraoka. Supraorbital and supratrochlear stimulation for trigeminal autonomic cephalalgias. Current pain and headache reports. 2014 Apr;18(4):409
PMID: 24562664
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