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The occipital nerve stimulation (ONS) is used to treat patients with refractory primary chronic headache but its mechanism of action (MoA) remains unknown. Different hypothesis have been suggested in particular a specific action on cerebral generators involved in different types of primary headaches or a non specific action on pain modulatory network.
The aim of this study, using the chronic cluster headache as a model, is to determine the changes in cerebral metabolism induced by ONS to precise its MoA in the treatment of primary chronic headache.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| subjects with refractory chronic cluster headache | Experimental | Adult subjects with refractory chronic cluster headache and ONS indication |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 18F-FDG PET | Radiation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Comparison of cerebral metabolism | Changes of cerebral metabolism associated with ONS efficacy | Baseline (before ONS), 1 week after ONS , 3 month after ONS |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU -Hôpital Gabriel Montpied | Clermont-Ferrand | 63000 | France | |||
| Institut des Neurosciences |
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| ID | Term |
|---|---|
| D003027 | Cluster Headache |
| ID | Term |
|---|---|
| D051303 | Trigeminal Autonomic Cephalalgias |
| D051270 | Headache Disorders, Primary |
| D020773 | Headache Disorders |
| D001927 | Brain Diseases |
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| Marseille |
| 13385 |
| France |
| Département d'Evaluation et Traitement de la Douleur - Pôle Neurosciences Cliniques - Centre Hospitalo-Universitaire de Nice | Nice | 06000 | France |
| Centre d'Urgence Céphalées | Paris | 75010 | France |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |