• Michael D Staudt, Salim M Hayek, Joshua M Rosenow, Samer Narouze, Jeffrey E Arle, Julie G Pilitsis, Jason M Schwalb, Steven M Falowski, and Jennifer A Sweet.
• Department of Neurosurgery, Beaumont Neuroscience Center, Royal Oak , Michigan , USA.
• Neurosurgery. 2023 Sep 1; 93 (3): 493495493-495.

BackgroundThe Guidelines Task Force conducted a systematic review of the relevant literature on occipital nerve stimulation (ONS) for occipital neuralgia (ON) to update the original 2015 guidelines to ensure timeliness and accuracy for clinical practice.ObjectiveTo conduct a systematic review of the literature and update the evidence-based guidelines on ONS for ON.MethodsThe Guidelines Task Force conducted another systematic review of the relevant literature, using the same search terms and strategies used to search PubMed and Embase for relevant literature. The updated search included studies published between 1966 and January 2023. The same inclusion/exclusion criteria as the original guideline were also applied. Abstracts were reviewed, and relevant full text articles were retrieved and graded. Of 307 articles, 18 were retrieved for full-text review and analysis. Recommendations were updated according to new evidence yielded by this update .ResultsNine studies were included in the original guideline, reporting the use of ONS as an effective treatment option for patients with medically refractory ON. An additional 6 studies were included in this update. All studies in the original guideline and this current update provide Class III evidence.ConclusionBased on the availability of new literature, the current article is a minor update only that does not result in modification of the prior recommendations: Clinicians may use ONS as a treatment option for patients with medically refractory ON.Copyright © Congress of Neurological Surgeons 2023. All rights reserved.

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