Phase
Condition
Pain (Pediatric)
Pain
Treatment
Ultrasound Guided Approach
Clinical Study ID
Ages 18-80 All Genders
Study Summary
Eligibility Criteria
Inclusion
Inclusion Criteria:
Patients between the ages of 18-80 with a diagnosis of occipital neuralgia ormigraine overlying the occipital region.
A diagnosis of occipital neuralgia will be based on the International Classificationof Headache Disorders (ICHD), whose criteria include: paroxysmal stabbing pain inthe distribution of the GON, tenderness over the affected nerve, and relief of painfor at least 3 hours after bupivacaine local anesthetic block of the affected nerve.
Patients may also be included if they have a diagnosis of migraine based on the ICHDcriteria with predominance of pain over the occipital region that responded tooccipital nerve block.
Patients must have failed oral medications including NSAIDs, opioids, andanticonvulsants for the management of their pain.
Failed treatment will be <50% pain reduction with oral medication.
Patients must report headache frequency of at least 10 days per month.
Exclusion
Exclusion Criteria:
Patients will be excluded from the trial if they have an unstable medical orpsychological condition,
are pregnant,
have an implanted cardiac pacemaker or defibrillator that could not be disabled,
have had a craniotomy or scar tissue overlying the site from a previous surgery,
have a history of cervical spine fusion,
have evidence of elevated ICP or intracranial tumor,
or have previous RFA treatment of the greater or lesser occipital nerve.
Study Design
Connect with a study center
University of Kansas Medical Center
Kansas City, Kansas 66160
United StatesActive - Recruiting
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