Occipital shuntalgia: Rethinking post-shunt occipital headache etiology and care

Post-shunt occipital neuralgia is a recognizable, under-appreciated cause of headache after VP shunting. Early recognition of a focal occipital neuropathic phenotype and nerve-targeted therapy can yield meaningful relief and help avoid unwarranted shunt revisions. Prospective validation of diagnostic criteria and management pathways is needed.

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Publication Details

Journal
Acta Neurochirurgica
Published
2026-02-18
DOI
https://doi.org/10.1007/s00701-026-06797-4
Primary Topic
Migraine and Headache Studies
Type
article
Field-Weighted Citation Impact
0.00
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article

Occipital shuntalgia: Rethinking post-shunt occipital headache etiology and care

Zeev Feldman, Shachar Shemesh, Lior Ungar, Cohen Zr et al.
Acta Neurochirurgica
Migraine and Headache Studies
article

Occipital shuntalgia: Rethinking post-shunt occipital headache etiology and care

Zeev Feldman, Shachar Shemesh, Lior Ungar, Cohen Zr, Noa Rennert, Paz Kelmer, Gabriel Lichtenstein, Yotam Hadari, Oded Jacobi, Itay Goor-Aryeh
article en

Abstract

Post-shunt occipital neuralgia is a recognizable, under-appreciated cause of headache after VP shunting. Early recognition of a focal occipital neuropathic phenotype and nerve-targeted therapy can yield meaningful relief and help avoid unwarranted shunt revisions. Prospective validation of diagnostic criteria and management pathways is needed.

Acta NeurochirurgicaVol. 168(1)
Tel Aviv University (IL), Sheba Medical Center (IL)
Openalex Percentile: Top 55%
Migraine and Headache Studies
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