The approaches to the complex field of chronic headache are rapidly evolving; accordingly, this timely and well-illustrated volume offers an in-depth description of all currently available surgical options for the treatment of migraine and headache (MH). With more than 300 high-quality figures, and written by an international panel of experts, this first edition of the Atlas of Surgical Therapy for Migraine and Tension-Type Headache, provides detailed, step-by-step instructions on how to perform state-of-the-art MH surgical techniques, while reviewing relevant anatomical issues and their implications for treatment. In light of the interdisciplinary nature of migraine treatment, this book will prove an invaluable resource for MH practitioners from the resident plastic surgeon to the neurosurgeon and neurologist, and health care professionals across various fields of clinical medicine.

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.

Since its serendipitous discovery, surgeons and physicians have continued to study and refine the surgical treatment of chronic headaches. This innovation has been a “disruptive” treatment challenging the classical methods of management for patients living with migraines. This comprehensive reference provides the starting point for many surgeons who are entering this field and also describes intricate and variable technical details, providing the reader with a basic knowledge while delving deeper into techniques honed through years of treatment experience. Surgical Treatment of Chronic Headaches and Migraines is organized across 17 chapters and contributed to by a multidisciplinary wealth of practitioners in the fields of plastic surgery, neurology, pain medicine, and more. Topics examine the various types of headaches that may require surgical treatment and include postoperative care alongside minimally invasive interventions. The text is rounded out by a look towards the future in this field and further enhanced by high-quality videos, tables, and figures, making it a valuable reference for anyone looking to treat patients exhibiting the debilitating pain of chronic headaches and migraines.

During the last few years, multiple studies have demonstrated the efficacy of migraine and tension-type headache trigger site deactivation surgery, hence expanding the therapeutic potentiality of plastic surgery. These procedures are performed based on headache onset and location: four trigger points that may cause the compression of the trigeminal branches have been described. In the present chapter, we describe indications, contraindications, procedures, and results of this therapy, focusing on our approach that relies on one 1-cm incision, and it is performed under local anesthesia.

Highly Commended by the BMA Medical Book Awards for Surgical Specialties! An estimated 11.7% of the U.S. population or nearly 38 million adults and children suffer from migraine headaches. A severe and highly debilitating type of headache, migraine is the third most common and eighth most disabling disease in the world. People who suffer from migraines often experience neurological symptoms such as nausea and visual disturbances. Despite optimal preventive and abortive pharmacologic treatment, as many as one-third of migraine patients experience refractory headaches and persistent symptoms. Migraine Surgery by world-renowned plastic surgeon Bahman Guyuron reflects significant knowledge gleaned from 17 years of migraine research, pioneering development of nerve decompression surgery, and 2,500 migraine surgery procedures. With contributions from top neurologists and plastic surgeons, this state-of-the-art book is the only one on the market dedicated to the surgical treatment of migraines. The book begins with a brief history of migraines, followed by a concise overview covering clinical presentation, imaging, abortive, and preventive treatments such as over-the-counter and prescription medications, neurotoxin injections, peripheral nerve blocks, and neuromodulation. Key Highlights Discussion of migraine trigger points including impacted anatomy, detection methods, and trigger point deactivation surgery Surgical treatment of frontal, temporal, rhinogenic, occipital, auriculotemporal, lesser occipital, and nummular migraines including postoperative care and complications Superb illustrations provide visual insights on compressions points, trigger sites, nerves, and the surgical treatment of headaches Extensive high-quality videos posted in the Thieme Media Center delineate life-altering surgical approaches This one-of-a-kind book is the ultimate guide to headache surgery and a must have for resident and veteran plastic surgeons alike. Neurologists and neurosurgeons will also benefit from reading this succinct yet masterful resource.

Since its serendipitous discovery, surgeons and physicians have continued to study and refine the surgical treatment of chronic headaches. This innovation has been a "disruptive" treatment challenging the classical methods of management for patients living with migraines. This comprehensive reference provides the starting point for many surgeons who are entering this field and also describes intricate and variable technical details, providing the reader with a basic knowledge while delving deeper into techniques honed through years of treatment experience. Surgical Treatment of Chronic Headaches and Migraines is organized across 17 chapters and contributed to by a multidisciplinary wealth of practitioners in the fields of plastic surgery, neurology, pain medicine, and more. Topics examine the various types of headaches that may require surgical treatment and include postoperative care alongside minimally invasive interventions. The text is rounded out by a look towards the future in this field and further enhanced by high-quality videos, tables, and figures, making it a valuable reference for anyone looking to treat patients exhibiting the debilitating pain of chronic headaches and migraines.

All physicians need to learn to diagnose and manage head pain. However, there are many causes of headache: some are secondary to other conditions; others are disorders in themselves. These factors often make differential diagnosis and treatment a challenge. This didactic atlas approaches the problem of migraine and other headaches from a visual perspective. The contents cover the history of migraine and headache, their epidemiology, diagnosis and treatment. While the central emphasis is on migraine, all types of headache are addressed. The book includes some classic illustrations from historical texts as well as modern images that illustrate the disorders and current thinking.