Health Condition 1: G431- Migraine with aura
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1 International classification of headache disorders second edition (ICHD-2) defined chronic migraine patients. 2 Patients of refractory migraine with occipital neuralgia. Refractory migraine are the patients who fail to respond adequately to preventive medication with established efficacy, alone or in combination, including more than 2 of 4 drugs classes(beta blockers, anticonvulsant, tricyclic and calcium channel blockers).
Exclusion criteria
Exclusion criteria: 1 Polyneuropathies irrespective of the etiology (diabetic, alcoholic, etc.). 2 Intracranial pathologic lesion. 3 Central neuropathic pain states. 4 Psychiatric comorbidity afflicting pain perception. 5 Previous interventions for treatment of the occipital neuralgia (ON). 6 Neck surgery. 7 Coagulation disorders. 8 Infection at the infiltration sites. 9 Cervical spinal cord injury. 10 Intervertebral disc herniation at level C1-2 or C2-3. 11 Neoplastic disease causing ON. 12 Individuals with continuous headache or using maintenance opioid medication. 13 Known hypersensitivity or allergic reaction to local anesthetics. 14 Implanted cardiac pacemaker or defibrillator that could not be disabled, 15 Previous PRF treatment of any nerve 16 Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess reduction in the frequency of days with moderate or severe migraine (NRS3).Timepoint: 1 month,2 month and 3 months after the procedure | — |
Secondary
| Measure | Time frame |
|---|---|
| To measures the reduction in mean frequency of all migraine headache days, mean number of hours with moderate or severe migraine headache, the mean number of days with acute medication.Timepoint: 1 month,2 month and 3 month after the procedure | — |
Countries
India
Contacts
post graduate institute of medical education and reasearch, Chandigarh