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Cluster Headache Help and Support >> Medications,  Treatments,  Therapies >> sugery
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Message started by cussy on Jun 29th, 2010 at 3:08am

Title: sugery
Post by cussy on Jun 29th, 2010 at 3:08am
has anyone considered surgery? my doc talked to me about it.don"t like the odds. anyone else care to comment?

Title: Re: sugery
Post by E-Double on Jun 29th, 2010 at 3:32am
Ive had these for yrs.
Ive been chronic for 6
Not once has it crossed my mind


Title: Re: sugery
Post by Batch on Jun 29th, 2010 at 5:40am
Cussy,

Has your doc prescribed oxygen therapy?  If not, and he's talking surgery, I'd be looking for a new doc.

Take care,

V/R, Batch

Title: Re: sugery
Post by Guiseppi on Jun 29th, 2010 at 9:28am
The surgical option should definitely be your last try...when all else has failed. The success rate has been dismally low, the potential side effects are severe.

Check out the standard options first. For prevents, verapamil, lithium, topomax. For abortives, OXYGEN, Imitrex injectables or nasal spray, zomig. All readily available through your doc.

Should all of the above fail you, go to   clusterbusters.com    there you will find a number of alternative treatments worth trying.

You need to either educate your doc with material from this board, or find a doc who is willing to listen to you. This condition does not lend itself to sitting in front of a doc and saying fix me. Most doctors, specially GP's, will never see a CH in their career. The 15 minutes of headache training they received in med school just doesn't cover us! ;)

Joe

Title: Re: sugery
Post by George on Jun 29th, 2010 at 9:38am
Is your doctor by chance a surgeon?

When you have a hammer, every problem looks like a nail.  Just saying.

Best,

George

Title: Re: sugery
Post by Bob_Johnson on Jun 29th, 2010 at 9:40am
I'm with Joe all the way!

I follow the medical literature regularly on this question and the results are pretty consistent: very mixed outcomes; low rates of long term/consistent success; continuing efforts/need to refine the technical aspects of the various tecniques.

I would only consider this approach after all the conventional treatments (with their known track/safety records) have failed you.

Since we are looking for treatments which we may have to use for many years, any surgical approach will not only have to resolve the technical problems but then develop a track record of success--all takes time.

Title: Re: sugery
Post by Lee_Ann on Jun 29th, 2010 at 11:52am
My husband has had 3 surgeries.  None of them worked.  He's chronic.

The first was cervical fusion.  He was convinced at the time that this would fix his headaches and probably would not have had it done if he had been convinced he had cluster headaches.  A surgeon talked him into it.

The same surgeon severed both occipital nerves a year later.

This April he tried the Occipital Nerve Stimulator trial (ONS).

He has also tried all traditional medicine. 

You can read about what he is trying now if you search my posts on this board or go to clusterbusters.com message board and read about it there. 

Good luck.

Lee Ann

Title: Re: sugery
Post by George on Jun 29th, 2010 at 12:02pm
Here's the latest update I could find on Ryan Stockdale, a local man who is one of the few in the US who has received DBS surgery in order to treat intractable chronic CH. 

He's had DBS twice--the first was removed due to an infection.  The latest update on his second surgery is from March of this year.  I'm not in contact with him, so I have nothing that is more recent.  From what I'm reading, the results have been mixed.  Perhaps he's doing better now, but I don't know.

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Best,

George

Title: Re: sugery
Post by seaworthy on Jun 29th, 2010 at 8:23pm
38 years of CH and surgery was has not nor will it ever be on my options list.

Title: Re: sugery
Post by Callico on Jun 30th, 2010 at 2:16pm
Absolutely the last resort.  Once it is cut you can't uncut it if it doesn't work, and for most it doesn't.

Jerry

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