Chronic Migraine
Conditions
Brief summary
Compared with the patients with episodic migraine those with chronic migraine have worst quality of life and more severe headache related disability we investigate Repetitive transcranial magnetic stimulation in treatment and prophylaxis of chronic migraine
Interventions
Repetitive transcranial magnetic stimulation parameters: stimulation site: left dorsolateral prefrontal cortex and left motor cortex intensity: 70% of resting motor threshold frequency: 15 Hz number of pulses: 30
Sponsors
Study design
Intervention model description
the patient will divide into 4 groups first group will receive stimulation over the left motor cortex second group will receive stimulation over left dorsolateral prefrontal cortex third group will receive stimulation over both left motor cortex and left dorsolateral prefrontal cortex fourth group will receive sham stimulation
Eligibility
Inclusion criteria
* A study sample of patients with chronic migraine according to international classification of headache disorders-3 (ICHD-3). * Patients are regular on follow up visits.
Exclusion criteria
* Patients with depression by Hamiliton scale of depression by using its Arabic version Translated by Dr Lotfy Fateem * patients on prophylactic medications for chronic migraine. * pregnancy. * cochlear implants, cardiac pacemaker, and metal body implanted in head-and-neck region. * Patients refused to give informed consent. * History of seizures.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| improvement of headache severity and number of attacks of headache before and after intervention by visual analogue scale and headache impact test | one month after treatment | improvement of headache severity and number of attacks of headache before and after intervention by visual analogue scale and headache impact test |
Countries
Egypt