Chronic Migraine, Headache
Conditions
Brief summary
STUDY THE EFFICACY OF INTRAVENOUS LIDOCAINE INFUSION ON PATIENTS WITH CHRONICUNILATERAL MIGRAINE HEADACHE ..NO OF PATIENTS 80..WILLBE DIVIDED INTO 2 GROUPS..FIRST WILL RECEIVE MEDICAL TREATMENT PLUS LIDOCAINE INFUSION ONCE WEEKLY FOR 4 SUCCESIVE WEEKS ,OTHER WILL RECEIVE MEDICAL TREATMENT PLUS SALINE INFUSION SAME REGIMNE,FOLLOW UP USING MONTHLY MIGRAINE DAYS,VAS SCORE,MIDAS SCORE,QUALITY OF LIFE QUESTIONAIRE,PRE AND POST MEASUREMENT OF CALCITONIN GENE RELATED PEPTIDE
Detailed description
Group A will receive medical treatment for migraine plus normal saline infusion,Group B will receive medical treatment plus lidocaine infusion at dose from 3 to 4 mg per kg,computer generated random number will be used to identify the selected blocks and give the sequence of patients allocation,guarantee equal random in each group a set of permuted blocks will be generated. Each block has 4 differently ordered treatment assignments.Block 1 (AABB),Block2(ABAB),Block3(BABA),Block 4(ABBA),Block5(BAAB),Block 6(BBAA).
Interventions
LIDOCAINE INFUSION STARTED 3 MG PER KG FOR 2 SUCCESSIVE WEEKS ,THEN 4 MG PER KG FOR ANOTHER 2 WEEKS .ONCE WEEKLY,other group saline infusion once weekly for 4 successive weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Age (18-55) years for both genders. * Patients with chronic unilateral migraine headache for at least (3) month with VASscore more than (4). * Patient who failed to respond to conservative treatment as medical treatment algorithm including at least tow preventive trials. Excusion criteria: * patient with disabling chronic disease or psychiatric illness * unstable cardiac arrhythmia * patient refusal red flags
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Monthly Migraine Days | 3 Month | Number of Migraine Attacks Per Month More or less than (15) for chronicity |
| Verbal analogue scale for pain | 3 month | verbal analogue scale for pain from( 0) to( 10) as( 0) no pain( 10) severe pain untolerable |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Migraine attack duration | 3 Month | Duration of each attack from (4) hours to (72) hours |
| Calcitonin Gene Related Peptide Biomarker. | 3 Month | Measurement of CGRP before and after( 1) month from first infusion treatment |
| Migraine Specific Quality Of Life Questionaire | 3 Month | 14 questions ,each one measured from ( 1) never affect to(6) always affect ,answers summed for all questions value is obtained |
| Migraine Disability Assessment Questionaire | 3 Month | (0) Absent of disability,(270) Extremely severe disability,more than (21) severe disability |
Countries
Egypt