New Surgical Approach for Migraine

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Objective:To introduce a new procedure for the treatment of intractable cases of migraine.Study Design:To eliminate the excessive vascular and nervous effect by ligation of superficial temporal artery and middle meningeal artery and severance of greater superficial petrosal nerve.Results:A total of 10 patients with cases of severe migraine underwent the surgery. A follow-up of 2 to 18 years showed no recurrences. Among the patients, three were living and well for more than 10 years.Conclusion:With an extradural approach, the procedure is relatively safe and simple. It stands as a good alternative for the treatment of intractable cases of migraine.

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