中脑膜动脉里多卡因输液治疗耐火性头痛
Nicolas K Khattar1, Adam S Arthur2,3, Diana Santori4
1Semmes-Murphey Clinic, Memphis, Tennessee, USA.
中脑膜动脉里多卡因输液 (MMAL) 为耐火性头痛患者提供潜在的缓解. 这种治疗有效地减少了许多患者头痛的日子,一些缓解持续了长达三个月.
科学领域:
- 神经学 神经学
- 干预性疼痛管理 干预性疼痛管理
背景情况:
- 耐火性头痛是一种广泛和使人衰弱的疾病,每年在美国影响数百万人.
- 现有的治疗方法往往无法为这些患者提供足够的缓解.
研究的目的:
- 评估中脑膜动脉里多卡因输液 (MMAL) 治疗耐火性头痛的安全性和有效性.
- 为提供MMAL作为慢性头痛疾病治疗选择的初步见解.
主要方法:
- 从两个机构的前性维护数据的回顾性审查.
- 包括45名接受MMAL治疗耐火性头痛的患者.
- 在手术后3个月内追踪头痛严重程度,手术指标和不良事件.
主要成果:
- 64.4%的患者在MMAL后立即缓解了头痛.
- 响应率 (定义为头痛日减少>50%) 在1个月后为57%,在2个月后为34%,在3个月后为20.6%.
- 没有观察到神经学并发症;最常见的不良事件是辐射接入部位的轻微不适.
结论:
- 中脑膜动脉里多卡因输液 (MMAL) 显示出在耐火病例中提供显著头痛缓解的潜力.
- 急性手术缓解强烈预测1个月后持续反应,这表明治疗成功的潜在指标.
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