Журнал неврологии и нейрохирургических исследований / Journal of Neurology and Neurosurgical Research Volume 7 Issue 2 (2026)
COMPARATIVE EFFECTIVENESS OF ENDOSCOPIC DECOMPRESSION OF THE GREATER OCCIPITAL NERVE AND TRADITIONAL SURGICAL METHODS IN THE TREATMENT OF CHRONIC MIGRAINE
Асадов Хамидулла Фатхуллаевич, Охунов Алишер Орипович, Асадов Хумоюн Хамиудллаевич
Abstract
Background. Chronic migraine is one of the most common forms of primary headache and significantly reduces patients’ quality of life. In recent years, surgical treatment of migraine has been actively developed, focusing on the elimination of peripheral trigger zones and decompression of sensory nerves. Compression of the greater occipital nerve is considered one of the key pathogenetic factors in occipital forms of chronic migraine. Objective. To evaluate the effectiveness of endoscopic decompression of the greater occipital nerve and compare its outcomes with traditional surgical techniques for the treatment of chronic migraine. Materials and Methods. The study included 293 patients with chronic migraine who underwent surgical treatment between 2020 and 2025. The control group consisted of 145 patients treated with conventional surgical methods. The main group included 148 patients who underwent endoscopic decompression of the greater occipital nerve. Results. The use of endoscopic techniques reduced the incidence of postoperative sensory complications and improved the stability of clinical outcomes. Favorable clinical results were observed in 70% of patients in the control group and in 85% of patients in the main group. Conclusion. Endoscopic decompression of the greater occipital nerve is an effective and safe surgical method for the treatment of chronic migraine and represents a promising direction in migraine surgery.
хроническая мигрень, большой затылочный нерв, эндоскопическая декомпрессия, хирургия мигрени.chronic migraine, greater occipital nerve, nerve decompression, endoscopic surgery, migraine surgery.surunkali migren, katta ensa nervi, nerv dekompressiyasi, endoskopik jarrohlik, migren jarrohligi.
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