I wonder how headache specialists would feel if surgeons would research and write an article about failed preventative and abortive medications or their complications. This click here will not occur since we consider this kind of report unscientific, egotistical, and totally

inappropriate. In the conclusion, Dr. Mathew criticizes the destructive nature of the treatment of the zygomaticotemporal branch of the trigeminal nerve. As I indicated earlier, this nerve, which is less than 1 mm in diameter, has been the subject of transection in many aesthetic and reconstructive procedures for decades. We are not aware of any patients developing a neuroma or persistent pain after this surgery that was not present prior to the surgery. This nerve will be decompressed from here on based on our recent study results. This will offer a second option for the patients, should decompression fail. His repeated claim that the patients who benefitted from the surgery may have had different types of headaches rather than MH is another reproachful remark against the headache specialists who are integral members of our research team. These highly respected neurologists have been enormously instrumental in serving many patients and allowing them to gain a quality of life they had never had. Cooperation between plastic surgeons

Paclitaxel nmr and neurologists can serve a small group of migraine patients who are not benefiting from the available preventative or abortive measures. Plastic surgical Ku-0059436 decompression of migraine trigger sites is not different from neurosurgical or orthopedic decompression of the different cranial and spinal nerves. The potential complications are extremely low and the benefits are life altering for many of these patients. The patients who are symptom free are not going to call their neurologist to report not having pain or visit their neurologist and pay for the visit when they do not need any care. These neurologists are

not going to hear about the success of the surgery, but invariably they will hear about the failures. I warmly invite our neurology colleagues to join forces with us to figure out how we can better help this small group of patients who suffer from such a devastating condition, but do not benefit from the available preventive or abortive medications. Many of these patients who undergo surgery not only have reduced migraine days or less intense pain, but they can often breathe better and commonly look better. Denouncing the surgery will result in hopeless patients being attracted and persuaded by the advertisements of the few improperly trained and immoral surgeons with unreasonable fees, which will have disappointing and even devastating outcomes.