Ultrasound Guided Block of Stellate Ganglion Versus Greater Occipital Nerve in Resistant Migraine and Correlation to Calcitonin Gene Related Peptide
NCT ID: NCT06662461
Last Updated: 2024-10-30
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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RECRUITING
NA
40 participants
INTERVENTIONAL
2024-02-01
2025-03-31
Brief Summary
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Detailed Description
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Each group will contain 20 patients one group will undergo ultrasound guided bilateral Greater Occipital nerve Block and the other group will undergo ultrasound guided bilateral Stellate Ganglion Block
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Ultrasound guided bilateral Greater Occipital nerve Block
ultrasound guided Greater occipital nerve block
Patients will be positioned in a prone position with their neck slightly flexed.
The trapezius , semispinalis, obliqus capitis muscles will be revealed on short-axis view.
A 25- or 21 gauge is used, with puncture point 1-1.5 cm away from the ultrasound probe.
Under the guidance of the ultrasound, GOB will performed by injection using 40 mg triamcinolone and 1ml of 2% lidocaine.
Ultrasound guided bilateral Stellate Ganglion Block
Ultrasound guided Stellate ganglion block
Patients are positioned in a lateral position with their necks slightly hyperextended. Assisted by ultrasound imaging equipment the C7 level is confirmed. The thyroid gland, carotid artery, compressible internal jugular vein, vertebral artery, brachial plexus and the oval-shaped structure of the longus collis muscle are revealed on this short-axis view.
A 25- or 21 gauge is used and the puncture point is 1-1.5 cm away from the ultrasound probe The tip of the needle reach the surface of the longus collis muscle and the 5 o'clock position of the carotid artery. Under the guidance of the ultrasound, SGB is performed by injection using 40 mg triamcinolone and 1ml of 2% lidocaine.
Interventions
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ultrasound guided Greater occipital nerve block
Patients will be positioned in a prone position with their neck slightly flexed.
The trapezius , semispinalis, obliqus capitis muscles will be revealed on short-axis view.
A 25- or 21 gauge is used, with puncture point 1-1.5 cm away from the ultrasound probe.
Under the guidance of the ultrasound, GOB will performed by injection using 40 mg triamcinolone and 1ml of 2% lidocaine.
Ultrasound guided Stellate ganglion block
Patients are positioned in a lateral position with their necks slightly hyperextended. Assisted by ultrasound imaging equipment the C7 level is confirmed. The thyroid gland, carotid artery, compressible internal jugular vein, vertebral artery, brachial plexus and the oval-shaped structure of the longus collis muscle are revealed on this short-axis view.
A 25- or 21 gauge is used and the puncture point is 1-1.5 cm away from the ultrasound probe The tip of the needle reach the surface of the longus collis muscle and the 5 o'clock position of the carotid artery. Under the guidance of the ultrasound, SGB is performed by injection using 40 mg triamcinolone and 1ml of 2% lidocaine.
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* Coagulation disorders.
* Systemic or local infection and drug allergies.
18 Years
ALL
No
Sponsors
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Ahmed Mohamed ElSadek
UNKNOWN
Sherien Mohamed Farag
UNKNOWN
Noha Lotfy Soliman
UNKNOWN
Mohamed Amir Tork
UNKNOWN
Ahmed Mohamed Abdelfattah Sharawy
UNKNOWN
Ain Shams University
OTHER
Responsible Party
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Mai Fathy Ahmed Fahmy
Associate Professor
Locations
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Ain Shams University Hospital
Cairo, , Egypt
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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FMASU MD14/2024
Identifier Type: -
Identifier Source: org_study_id
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