1. Frontal/ ocular migraine headaches: Under local anesthesia, I make a small vertical incision ( 3 - 4 cm) over places No (1), then I ligate the artery in these places, cut of the artery is unnecessary, it is enough to ligate it twice with 2/0 silk thread. 2. Occipital migraine: Under local anesthesia, I make a horizontal incision about ( 6 cm) over place # (3) and I ligate the occipital artery. The technique of surgical operation depends on the migraine headaches location. Headaches located in one side in front/ocular area – STA ligated in place #1.Headaches located in both sides in frontal/ ocular area – STA ligated in place # 1 from both sides.Headaches located in both sides in frontal/ ocular area with spread in the back in one side only – STA must be ligated in place # 1 from both sides and Occipital artery in place # 3 in the side where headaches spread to the back.Headaches located only in one side but in frontal/ ocular and occipital area- STA must be ligated in place # 1, and occipital artery in place # 3 at the same side.Headaches located only in one side in the back of head – occipital artery must be ligated in place # 3 in one side only.Headaches located in both sides in the back of the head with or without spread in the frontal area – occipital artery must be ligated in place # 3 from both sides.
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