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        New Message Board Archives >> Jul-Sep 2003 >> You already know
        
(Message started by: forgetfulnot on Aug 16^th, 2003, 11:17am)

Title: You already know
Post by forgetfulnot on Aug 16^th, 2003, 11:17am

Pretty good article,

http://www.chhelp.org/specialfeature.html

Lee

Title: Re: You already know
Post by Charlie on Aug 16^th, 2003, 1:19pm

Quote:

Even the most reserved individual can, during an attack, be driven to curse out loud

Now that made my day.......Damn near soiled myself

Nice batch of reading materials today. Thanks kids.

Charlie

Title: Re: You already know
Post by Ree on Aug 16^th, 2003, 4:01pm

Wow they acted like they invented something... Great article... too bad its everything we already know though... and nothing new... oh well...thanks~ ree

PS WHY ISNT THERE A LINK TO US I NOTICED OUCH ITALIA AND FINLAND??????? WHOSE IN CHARGE OF THE LINKS.................REE

Title: Re: You already know
Post by jonny on Aug 16^th, 2003, 5:09pm

Outcome of Trigeminal Nerve Section in The Treatment of Chronic Cluster Headache.
RG Jarrar1, DW Dodick2 and DH Davis3.

Chronic cluster headache accounts for 5-10% of all patients with cluster headache. Traditionally, this disorder is resistant to medical management. Objectives: To determine the outcome and morbidity of trigeminal nerve section in patients with intractable chronic cluster headache.
Patients and methods: Seventeen patients aged between 27 and 67 (mean 38) underwent trigeminal nerve section for chronic cluster headache between 1981 and 1997. All were male patients. All attacks were classic of cluster headache. At the time of surgery, patients had been suffering from the disorder for an average of 8.8 years. The mean attack frequency was 11 per week. Mean attack duration was 1.5 hours. On average, each patient tried 8 prophylactic and abortive medications prior to surgery. Half of the patients tried radiofrequency ablation at least once prior to surgery. Surgery was performed via the suboccipital route.
Results: 12 patients (70%) underwent complete nerve section, 5 patients (30%) underwent partial nerve section. Vascular compression was found in two patients at the time of surgery. Follow up period ranged between a few months to 19 years (mean 5 years). In general, 88% had complete or near complete relief of their symptoms. Of the 12 patients who had complete nerve section, 9 had complete relief, 2 near complete relief and one had incomplete relief. Of the 5 patients who had partial root section, 2 had complete relief, 2 had near complete relief and one had incomplete relief. One patient developed meningitis following surgery with no long term effects. One patient developed a CSF leak that resolved with no complications. One patient developed mild anesthesia dolorosa. 82% of the patients had mild persistent eye complaints and 70% had clinically insignificant motor weakness. One of the patients in the complete section group and another in the partial section group had recurrence of their cluster headache on the same side after initial complete relief. Both patients underwent a second surgery, one died after the second surgery and the other had incomplete relief of his symptoms. Two patients with no previous history of contralateral headache developed cluster headaches on the other side. None of the patients with complete relief were on medications at the time of this study. All the patients with complete relief indicated satisfaction with the procedure.
Conclusion: Trigeminal nerve section is an effective treatment with acceptable morbidity for patients with medically refractory chronic cluster headache. Total nerve section is associated with a better surgical outcome. The benefits appear to be sustained with long term follow-up.

Journal:
Reprint: 1Neurology, Mayo Clinic, Rochester, MN, USA; 2Neurology, Mayo Clinic, Scottsdale, AZ, USA; 3Neurosurgery, Mayo Clinic, Rochester, MN, USA
........................................................................................

They aint cutting me, im flying down the CH'less highway to seven weeks PF.....LOL ;D

I only posted this cause Ive never seen it before and ive been here for nearly 4 years......LOL

......................................jonny ;D

Title: Re: You already know
Post by Marc on Aug 16^th, 2003, 9:58pm

Ree,

You've been here a long time - do you remember Bennie Sue? chhelp.org is her site.

Marc Kurth

Title: Re: You already know
Post by DJ on Aug 17^th, 2003, 1:41am

lolololololololololololol! good call marc!