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Instituto Nacional de Neurología y Neurocirugía
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2008, Number 4

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Arch Neurocien 2008; 13 (4)

Clinical trial of intranasal tetracaine and placebo in an acute migrane a tac at the central military hospital

Ramos-Reyna E, Figueroa-Medina MJ, García-Hurtado JP
Full text How to cite this article

Language: Spanish
References: 5
Page: 237-241
PDF size: 117.96 Kb.


Key words:

acute migraine, intranasal tetracaine, trigeminal nerve, clinic study.

ABSTRACT

Migraine is a disabling, common and chronic neurovascular disorder, that is characterized by moderate to severe headache attacks, accompanied of varied symptomatology. It has been assumed that one of the causes of the pain is the activation of the trigeminal nerve. Migraine is a well known cause of economic loss due to the decreased productivity and labor day loss. Objective: to demonstrate the effectiveness of intranasal tetracaine in treatment of acute attack of migraine and to evaluate its side effects. Material and methods: there was carried out a clinical, experimental, pilot, longitudinal, descriptive and comparative study, using intranasal tetracaine compared with placebo (isotonic saline solution 0.9 %). Thirty six patients with acute attack of migraine were included, who arrived to the emergency room and outpatient clinic of neurology. Eighteen patients were treated with tetracaine and 18 patients with placebo. Results: relief of pain was observed in 83% of patients treated with intranasal tetracaine in the first 10 minutes after the application, compared with only 6% in patients treated with placebo. This represents a statistically significant difference (p ‹ 0.0001). Only numbness throat was observed as side effect in patients treated with tetracaine.


REFERENCES

  1. Jennsen K, Tfellt-Hansen. Classic migraine. A prospective reporting of symptoms. Acta Neurol Scand 1986; 73: 359-62.

  2. Kaube H, Katsarava Z. Acute migraine headache; possible sensitization of neurons in the spinal trigeminal nucleus? Neurology 2000; 58: 1234-8.

  3. Lainez MJA, Monzón, the Spanish Occupational Migraine Study Group (2003). The socio-economic impact of migraine in Spain. In J. Olesen TJ, Steiner, & R. B. Lipton (Eds.). Reducing the burden of headache. New York: Oxford University Press.

  4. Headache Classification Subcommittee of the International Headache Society. The International Classification of Headache Disorders, 2nd Edition. Cephalalgia 2004;24(supply 1), 24-36.

  5. Goadsby PJ, Olesen TJ. Diagnosis and management of migraine. BMJ 1996; 312: 1279-82.




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Arch Neurocien. 2008;13