RecruitingNot ApplicableNCT06974617

Sphenopalatine Block Versus BOTOX in Management of Chronic Migraine

Sphenopalatine Block Versus BOTOX in Management of Chronic Migraine: A Randomized Clinical Trial


Sponsor

Cairo University

Enrollment

64 participants

Start Date

May 15, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

This trial compares the efficacy and safety of sphenopalatine ganglion block (SPGB) and intramuscular BOTOX injection in chronic migraine.


Eligibility

Min Age: 18 YearsMax Age: 65 Years

Inclusion Criteria3

  • Age 18 and 65 years.
  • Both sexes.
  • Chronic migraine. Chronic migraine, defined as headaches on ≥15 days per month for ≥3 months, of which ≥8 days meet criteria for migraine without aura or respond to migraine-specific treatment according to International Classification of Headache Disorders-3 Beta.

Exclusion Criteria4

  • Patients with medication over use headache.
  • Bleeding disorders.
  • Abnormal neurological examination.
  • History of allergy to local anesthetics or BOTOX.

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Interventions

DRUGSphenopalatine block

Patients will receive 2 ml of 2% lidocaine using a nasal applicator in each nostril.

DRUGBotulinum Toxin Type A

Patients will receive Botulinum Toxin Type A 100 units administered in a fixed dose and site paradigm.


Locations(1)

Cairo University

Cairo, Egypt

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NCT06974617


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