E-mail of Dr. Bahman Guyuron

Bahman Guyuron, MD Kiehn-DesPrez Professor and Chair Department of Plastic Surgery Case Western Reserve University and University Hospitals Case Medical Center

You keep claiming that I have stolen your idea about surgical treatment of migraine headaches. Here are the reasons that your statements are incorrect: 1- I have never been to Syria or Russia, and I have never met you so I had no way of learning about what you are doing. Dr SULTANEH RESPONSE: FIRST OF ALL I FINISHED MY NEUROSURGICAL STUDY IN RUSSIA IN JANUARY 1995 AND I NEVER GO BACK IN RUSSIA SINCE THEN, WHILE MY SURGICAL MIGRAINE DISCOVERY WAS IN 1998 IN SYRIA SO WHY YOU MENTION RUSSIA HERE, MAYBE YOU DON'T KNOW THIS. SECOND IN SATELLITE TV TRANSITION, AND INTERNET (NO NEED TO BE IN CONTACT WITH ME TO KNOW ABOUT MY WORK, BECAUSE OF MEDIA THAT TALK ABOUT MY WORK SINCE 1998 AND MY BOOK PUBLISHED IN JANUARY 2000.). 2- My first article related to the surgical treatment of migraine headaches was published in July of 2000, whereas your abstract was presented in the USA long after that at a neurosurgery meeting which I do not attend. My first knowledge of your abstract was during the time we did a literature search to write my third article in 2003. Dr SULTANEH RESPONSE: YOUR FIRST ARTICLE RELATED TO THE SURGICAL TREATMENT OF MIGRAINE WAS PUBLISHED IN JULY 2000, THAT MEAN 2 YEARS AFTER MY MIGRAINE VERY IMPORTANT DISCOVERY THAT ONLY EXTRA CRANIAL ARTERIES DILATATION CAUSE ALL KINDS OF MIGRAINE HEADACHES, AND MY BOOK ABOUT THE REAL END OF MIGRAINE HEADACHES USING MY SURGICAL TREATMENT WAS PUBLISHED IN JANUARY 2000 AND YOU CAN READ IN IT THIS NEW DISCOVERY ABOUT EXTRA CRANIAL ARTERIES THAT CAUSE ALL KINDS OF MIGRAINE HEADACHES. 3- According to your abstract, your treatment involved temporal headaches, while my initial discovery centered on frontal migraine headaches. Dr SULTANEH RESPONSE: FROM WHERE YOU FIND THAT MY WORK TALKING ABOUT TEMPORAL HEADACHES (?????), !!!, IN MY WORK YOU WILL SEE THAT MY INITIAL DISCOVERY CENTERED ON FRONTAL MIGRAINE!!!!!. YOU WILL FIND IN MY WORK 2 KINDS OF MIGRAINE WITH 2 KINDS OF SURGICAL TREATMENT: 1- FRONTAL MIGRAINE: CAUSED BY SUPERFICIAL TEMPORAL ARTERY, THAT CAUSE ALSO TEMPORAL KINDS OF MIGRAINE BUT I DIDN'T MENTION THAT BECAUSE EVEN NONE MEDICAL PERSON CAN KNOW THAT. 2- OCCIPITAL MIGRAINE: CAUSED BY OCCIPITAL ARTERY. SO YOU SAY THING AND TALK THAT I TALK THAT THING!!!!! 3- I did not know that you have published a book, nor do I know its topic. I have not seen a Syrian TV show since I was in Syria to give a lecture 18 years ago. Dr SULTANEH RESPONSE: BEFORE MY BOOK WAS PUBLISHED I REPRESENT MY WORK ON MIGRAINE SURGERY IN 1998 IN HOMS (SYRIA), ANNUAL MEETING OF SYRIAN NEUROLOGICAL SOCIETY. 4- If your artery theory is the only reason for migraine headaches and muscles play no role in migraine headaches, then Botox would not be effective in the treatment of migraine headaches. Dr SULTANEH RESPONSE: FIRST YOU MUST KNOW THAT AFTER MY MIGRAINE DISCOVERY THAT ONLY EXTRA CRANIAL ARTERIES CAUSE ALL KINDS OF MIGRAINE INCLUDING BASILAR MIGRAINE THAT CAUSED BY OCCIPITAL ARTERY DILATATION, ANY NEW TREATMENT BASED ON MY DISCOVERY WILL BE NORMAL KIND OF TREATMENT BECAUSE THE IMPORTANT THING IS FIRST FINDING, THAT CAN OPEN TOO MANY WAY TO TREAT MIGRAINE HEADACHES. MAYBE IN FUTURE THEY WILL DO AN OINTMENT (VASOCONSTRACTION) THAT CAN BE APPLIED ON THE FRONTAL AREA EVERY TIME MIGRAINE HEADACHES COME TO GET RID OF MIGRAINE HEADACHES, OR MAYBE THEY CAN FIND BETTER WAY TO CLOSE THESE ARTERIES, OR WHO KNOW HOW!, BUT THE IMPORTANT THING STILLS MY NEW DISCOVERY. ALL TIME YOU AND OTHER PLASTIC SURGEONS REMOVE FRONTAL MUSCLES FOR PLASTIC SURGERY REASONS, NO ONE NOTICED BEFORE MY DISCOVERY THAT MIGRAINE PATIENTS WHO DO THIS KINDS OF SURGERY BECOME MUCH BETTER WITH MIGRAINE HEADACHES AFTER THE SURGERY,,,,, ONLY AFTER MY DISCOVERY YOU NOTICED THAT, WHEN EVEN NONE MEDICAL PERSON CAN NOTICE THAT AFTER MY DISCOVERY. MAYBE PLASTIC SURGEONS DIDN'T NOTICE THAT, WHEN EVEN NONE MEDICAL PERSON CAN NOTICE THAT AFTER MY DISCOVERY. MAYBE PLASTIC SURGEONS DIDN'T NOTICE THAT BECAUSE THEY DO THESE KINDS OF SURGERY TO THE OLDS PEOPLES WHILE 80% OF MIGRAINE DISAPPEARS WITH THE TIME.

NOW TO ANSWER YOU: BOTOX CAUSE PARALYSIS OF MUSCLE IN TEMPORAL ARTERY WALL SO ARTERY CANT DO AN ACTIVE VASODILATATION WHICH CAUSE MIGRAINE HEADACHES, I HAVE VERY IMPORTANT THING TO SAY HERE ABOUT THAT BUT I CANT TELL IT NOW. 5- There is absolutely no similarity between what you do and what I do. Dr SULTANEH RESPONSE: NO IT'S NOT TRUE, BECAUSE WHEN YOU REMOVE THE FRONTAL MUSCLE YOU REMOVE WITH IT ALL BRANCHES OF FRONTAL BRANCH OF TEMPORAL ARTERY. Surgical attempts to treat migraine headaches is neither your idea nor mine. Dandy in 1931 attempted to treat migraine headaches surgically, with limited temporary success. There have been multiple unsuccessful surgical attempts since. Dr SULTANEH RESPONSE: YES I AGREE WITH YOU AND I MENTION THAT IN MY BOOK, HEYCK, 1973, 1977, MENTION THAT FIRST WHO DO SURGERY FOR MIGRAINE WAS ALI BIN ISSA IN 11 CENTURY. ROMANIAN TOMA IONESCU IN 1900, CUSHING IN 1904, PENFIELD IN 1923, DANDY 1923, ROWBOTHAM IN 1942, GARDNER, AND OLIVECRONA IN 1942. ALL ANCIENT ATTEMPTS FAILED TO FIND THE SIMPLE MIGRAINE SECRET THAT I FOUND DUE TO MY MIGRAINE PRESSURE POINTS (THERE IS ALL THE STORY HOW I FOUND THIS DISCOVERY, ITS TOO LONG STORY!), THAT MAKE MY SURGERY PUT THE REAL END OF THIS DISEASE ONCE AND FOREVER. All of my studies were performed with IRB approval and involved one or two unbiased neurologists. The prospective studies included a control arm and were published in peer-reviewed journals. We have followed these patients rigorously. A study nurse coordinator collects the data and I have no role in the data collection or analysis. I hope you have conducted your studies as scientifically as we have. DR SULTANEH RESPONSE: I THINK THAT I DID TOO MUCH FOR WHO WORK ALONE NOT EMPLOYED ANYWHERE, (I HAVE TOO MUCH TO SAY ABOUT MY CONDITION OF WORK), AND WITHOUT ANY HELP FROM ANY OFFICIAL OR NONE OFFICIAL ORGANIZATION.