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In this study the investigators will research the hypothesis that the gas carbon monoxide induces headache and increases the blood flow velocity in the middle cerebral artery.
To investigate headache score and accompanying symptoms during and after inhalation of carbon monoxide.
With transcranial Doppler imaging, c-scan and laser speckle the investigators will investigate changes in blood flow velocity of the middle cerebral artery (MCA), diameter of the superficial temporal artery (STA), the radial artery and facial skin perfusion.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| carbon monoxide | Active Comparator | Inhalation of carbon monoxide up to a carboxyhemoglobin concentration of 12% and 22%. |
|
| placebo | Placebo Comparator | Atmospheric air |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Carbon monoxide | Other | carbon monoxide, 4.7, Purity 99.997, inhalation of carbon monoxide in a volume corresponding to carboxyhemoglobin 10 and 20%, calculated from baseline Hg and body mass. |
| Measure | Description | Time Frame |
|---|---|---|
| Headache scores | Comparison between carbon monoxide and placebo (atmospheric air) | 12 h |
| Measure | Description | Time Frame |
|---|---|---|
| Blood flow velocity | Carbon monoxide induced changes in blood flow velocity in the middle cerebral artery before and after inhalation. | 0-180 min after inhalation |
| Artery circumference | Carbon monoxide induced changes in the superficial temporal artery and the radial artery before and after inhalation. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Nanna Arngrim, MD | Danish Headache Center, Glostrup Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Danish Headache Center | Glostrup Municipality | Denmark | 2600 | Denmark |
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| ID | Term |
|---|---|
| D006261 | Headache |
| D008881 | Migraine Disorders |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D002248 | Carbon Monoxide |
| ID | Term |
|---|---|
| D017554 | Carbon Compounds, Inorganic |
| D007287 | Inorganic Chemicals |
| D005740 | Gases |
| D010087 | Oxides |
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| Placebo | Other |
|
| 0-180 min |
| Facial blood flow | Carbon monoxide induced changes in facial blood flow before and after inhalation. | 0-180 min |
| D051270 | Headache Disorders, Primary |
| D020773 | Headache Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D017601 |
| Oxygen Compounds |