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Infiltration of the greater occipital nerve (GON) with local anaesthetics and corticosteroids is a treatment option for cluster headache. Corticosteroids may be helpful in reducing the pain intensity and frequency in chronic migrtaine. This RCT is set up to assess efficacy and safety of sub-occipital steroid injections with local anesthetic in patients with chronic migraine.
Infiltration of the greater occipital nerve (GON) with local anaesthetics and corticosteroids is a treatment option for cluster headache. In general, there is a marked paucity of evidence concerning GON blocks in migraine. Corticosteroids may be helpful in reducing the pain intensity and frequency in these patients. This is an RCT to assess efficacy and safety of sub-occipital steroid injections with local anesthetic in patients with chronic migraine.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Active | Experimental | Betamethasone and local anesthetic. |
|
| Placebo | Placebo Comparator | Saline with local anesthetic. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Betamethasone and local anesthetic | Drug | Infiltration of the greater occipital nerve . |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of migraine days | Number of days fulfilling the ICHD criteria for migraine | 8 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Number of days with severe headache days | Number of days with severe headache days | 8 weeks |
| Medication use | use of medication recorded during the 8 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jakob Møller Hansen | Contact | jamoha01@regionh.dk |
| Name | Affiliation | Role |
|---|---|---|
| Jakob M Hansen, MD, PhD | Danish Headache Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Danish Headache Center, University of Copenhagen, Faculty of Health Sciences, Department of Neurology, Glostrup Hospital | Glostrup, Copenhagen | 2600 | Denmark |
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| ID | Term |
|---|---|
| D001623 | Betamethasone |
| D000779 | Anesthetics, Local |
| ID | Term |
|---|---|
| D011246 | Pregnadienetriols |
| D011245 | Pregnadienes |
| D011278 | Pregnanes |
| D013256 | Steroids |
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| 8 weeks |
| Responder rate | number of patients with more than 50% reduction in migraine | 8 weeks |
| Number of migraine attacks | Number of attacks fulfilling the ICHD criteria for migraine | 8 weeks |
| D000072473 |
| Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D013259 | Steroids, Fluorinated |
| D000777 | Anesthetics |
| D002492 | Central Nervous System Depressants |
| D045505 | Physiological Effects of Drugs |
| D020228 | Pharmacologic Actions |
| D020164 | Chemical Actions and Uses |
| D018689 | Sensory System Agents |
| D018373 | Peripheral Nervous System Agents |
| D002491 | Central Nervous System Agents |
| D045506 | Therapeutic Uses |