Comparison of Great Occipital Nerve and Supraorbital Nerve Blockade Methods at Treatment of Acute Migraine Attack in the Emergency Department

• Status: Completed
• Trial end date: 2021-03-14
• Target enrollment: 0
• Participant gender: All

Summary

Aim Acute migraine attack is a clinical condition that is frequently encountered in emergency departments and varies from patient to patient in terms of treatment modalities. There are many different treatments whose effectiveness has been proven by concrete evidence(1). Drug treatments applied to patients are generally given intravenously or intramuscularly. Non-steroidal anti-inflammatory drugs, metoclopramide and intravenous magnesium therapy is generally used for treatment in emergency departments (1). The effectiveness of supraorbital nerve blockade and great occipital nerve blockade in migraine treatment and prophylaxis has been proven in many studies(2-6). The aim of this study is to discuss the effectiveness of supraorbital and great occipital nerve blockade treatments in acute migraine attack, when combined or used individually.

• Phase: Phase 4
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Dr. Lutfi Kirdar Kartal Training and Research Hospital
• Treatments: Lidocaine

Criteria

Inclusion Criteria:

1. Meeting the criteria of International Headache Society (IHS CLASSIFICATION ICHD-3) migraine criteria with or without aura

2. Not taking medication before applying to the hospital

3. Over 18 years

4. Under 50 years

5. Patients with a history of migraine

6. The number of migraine attacks per month should be between 2 and 8

7. Having a headache-free period of at least 48 hours between migraine attacks

8. Diagnosis of migraine at least 1 year ago

9. Migraine prophylaxis is finished and the last dose should be taken 1 month or more

Exclusion Criteria:

1. Pregnancy

2. Epilepsy, History of Arrhythmia

3. Implantation in the skull, Cardiac pacemaker

4. Patients with a brain tumor or in an acute cerebrovascular accident clinic

5. Patients with a history of head injury

6. Past medical history of psychiatric illness

7. Patients with a fever> 38, Patients with suspected meningitis

8. Patients with acute changes of consciousness or signs of meningeal irritation

9. Hypertension (Patients with Blood Pressure> 160/110)

10. Headaches due to excessive drug use

11. Patients with headache> 15 days monthly