What is the role of surgical therapy for migraine headaches?

Updated: Oct 21, 2019
  • Author: Jasvinder Chawla, MD, MBA; Chief Editor: Helmi L Lutsep, MD  more...
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Answer

Surgical therapy for migraine is highly controversial. In a study of 60 patients, Dirnberger and Becker reported that corrugator muscle resection produced total relief of migraine in 28.3% of patients, essential improvement in 40%, and minimal or no change in 31.7%. The more severe their migraine, however, the less likely patients were to experience improvement. In addition, 11 patients who had a very favorable short-term response experienced a gradual return of their headaches to preoperative intensity within about 4 weeks postoperatively. [142]


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