{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,2]],"date-time":"2025-05-02T02:28:50Z","timestamp":1746152930179},"reference-count":18,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2015,9,26]],"date-time":"2015-09-26T00:00:00Z","timestamp":1443225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2015,11]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Chronic headaches following concussion are debilitating and difficult to treat. Commonly employed initial therapeutic modalities include pharmacologic, physical, and psychological interventions. Despite these efforts, a subset of patients with chronic pain remains. Peripheral nerve surgery has never before been reported as an effective treatment for the management of post\u2010concussion headaches. In this study, we report on our early outcomes following peripheral nerve surgery for this novel indication.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective review of 28 consecutive patients with post\u2010concussion headaches who underwent occipital nerve surgery was performed. Preoperative and postoperative headache pain was evaluated on visual analog scale (VAS) in 24 patients with at least 6 months follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The average VAS headache pain reduced from 6.4 preoperatively, to 1.4 (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001). Twenty\u2010one patients (88%) had a successful outcome of at least a 50% reduction in their VAS following peripheral nerve surgery. Additionally, twelve patients (50%) were pain free at time of final follow\u2010up. There were no surgical complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Early results indicate peripheral nerve surgery is a safe and effective new therapy for post\u2010concussion headaches in the properly selected patients, whose chronic pain persists despite initial treatments by a neurologist, specialized in headache management. Future studies should focus on larger patient populations, and examine the long\u2010term durability of outcome. In the meantime, an interdisciplinary approach involving neurologists and a peripheral nerve surgeon is suggested for the care of patients with refractory chronic post\u2010concussion occipital neuralgia and other post\u2010traumatic chronic headaches. \u00a9 2015 Wiley Periodicals, Inc. Microsurgery 35:603\u2013607, 2015.<\/jats:p><\/jats:sec>","DOI":"10.1002\/micr.22503","type":"journal-article","created":{"date-parts":[[2015,9,26]],"date-time":"2015-09-26T12:39:27Z","timestamp":1443271167000},"page":"603-607","source":"Crossref","is-referenced-by-count":19,"title":["Interdisciplinary treatment of post\u2010concussion and post\u2010traumatic headaches"],"prefix":"10.1002","volume":"35","author":[{"given":"Ivica","family":"Ducic","sequence":"first","affiliation":[{"name":"Plastic Surgery Nerve and Headache Institute, The George Washington University McLean VA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeremy C.","family":"Sinkin","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery Georgetown University Hospital WA DC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin E.","family":"Crutchfield","sequence":"additional","affiliation":[{"name":"Sinai Neurology Associates Berman Brain and Spine Institute, Sinai Hospital Baltimore MD"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,9,26]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.300.6.711"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11940-006-0031-9"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/head.12123"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2011.06.003"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200206000-00001"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181adcf6a"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4610.2011.02068.x"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181707063"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181a0720e"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e3182898736"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0333102413499645"},{"key":"e_1_2_7_13_1","doi-asserted-by":"crossref","unstructured":"NeelyET MidgetteLA ScherAI. 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