Unilateral occipital nerve stimulation for bilateral occipit
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Occipital neuralgia (ON) is the third most common headache syndrome following migraine and tension-type headaches. ON is characterized by severe sharp, shooting, or electric shock pain at the distribution of the occipital nerve. Any stretching or entrapment of the occipital nerve from the second cervical vertebra (C2) to the outlet of the nerve out of the occipital muscle can evoke chronic pain.

This article presents the case of a 59-year-old female patient with severe bilateral ON treated with unilateral ONS. The patient reported complete pain relief after consistent unilateral ONS during the follow-up period. The underlying mechanisms may be linked to the relationship between pain and several brain regions, including the pons, midbrain, and periaqueductal gray...

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