Chronic cluster headache Nervous System Diseases Chronic cluster headache
Conditions
Interventions
All participants undergo a trans-nasal endoscopic vidian neurectomy with maximal preservation of spheno-palatine ganglion activity. This involves precisely nerve transect via an endoscopic trans-naasl
Sponsors
Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Diagnosis of CCH according to the criteria of International Classification of Headache Disorders 2nd edition (ICHD-II) 2. Duration of CH exceeding three years 3. Daily attacks 4. Resistance to more than two pharmacological prophylactic treatments with adequate trials including rizatriptan or other available drugs in Taiwan (verapamil, lithium or steroid) 5. Treatment by vidian neurectomy ranked as a precise cut, with follow-up exceeding one year 6. Aged 17 years and over
Exclusion criteria
Exclusion criteria: Patients with cluster headache who show good response to pharmacological treatments.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Headache pattern is measured by patient interviews, to obtain the change of the mean attack frequency (numbers of attacks per week) and mean attack intensity (using the visual analogue scale (VAS)) at baseline, one week, and one, three, six and twelve months post procedure. | — |
Secondary
| Measure | Time frame |
|---|---|
| The degree participants’ daily lives disrupted by cluster headache is obtained by patient interviews and questionnaire: the pain disability index (PDI) at baseline, one week, and one, three, six and twelve months post procedure. | — |
Countries
Taiwan
Outcome results
None listed