1.

Record Nr.

UNINA9910300276603321

Autore

Muehlberger Thomas

Titolo

Migraine Surgery : A Clinical Guide to Theory and Practice / / by Thomas Muehlberger

Pubbl/distr/stampa

Cham : , : Springer International Publishing : , : Imprint : Springer, , 2018

ISBN

3-319-78117-0

Edizione

[1st ed. 2018.]

Descrizione fisica

1 online resource (283 pages)

Disciplina

616.84912

Soggetti

Plastic surgery

Neurology 

Pain medicine

Plastic Surgery

Neurology

Pain Medicine

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Nota di contenuto

Theory: What is migraine? -- Myths and Misperception -- Pathophysiology of migraine -- History of migraine surgery -- How does migraine surgery work?. Current scientific evidence -- Interdisciplinary approach. Practice: Course of treatment -- Patient selection -- The Botox test -- PREEMPT vs Decompression -- The surgery (nose, temple, neck, forehead) -- Follow-up -- Controversy -- Perspective. .

Sommario/riassunto

Migraine surgery is the only existing treatment option that can lead to a permanent symptomatic improvement. Surgical techniques and advances in the understanding of the underlying mechanisms are evolving rapidly. This book intends to familiarise surgeons with the concept of migraine headaches and explains the surgical deactivation of trigger sites, which consists of much more than the decompression of pericranial nerves. The traditional notion of the brain as the sole origin of migraine is supplanted by a concept where the alteration of afferent signals in conjunction with peripheral and central sensitization can trigger a migraine attack. Migraine surgery targets the crucial role



of extracranial tissues in the genesis of migraine which is corroborated by substantial clinical, anatomical and pathophysiological evidence.