Neurological Sciences

, Volume 33, Supplement 1, pp 33–35 | Cite as

Drug-resistant chronic migraine: the Italian GON project

  • A. Proietti Cecchini
  • M. Leone
  • G. C. Manzoni
  • P. Torelli
  • G. Bussone
SYMPOSIUM: PERIPHERAL NEUROMODULATION IN CHRONIC MIGRAINE

Abstract

Chronic daily headache is a major problem due to severe disability and high socio-economic costs. In the last years, some trials have shown potential benefit from new therapeutic approach by occipital neurostimulation techniques, already applied with some success for the treatment of chronic cluster headache. Due to the extremely heterogeneous population suffering from refractory chronic daily headaches, we propose a national multicenter experimental study involving Italian ANIRCEF Headache Centres with the aim to evaluate the efficacy of occipital neurostimulation in a selected group representative for the drug-resistant chronic migraine. Patients with chronic migraine according to Manzoni’s modified IHS criteria-2011, with or without medication overuse headache, will be selected. Duration of illness should be at least 2 years and pharmacological refractoriness defined strictly for experimental-surgical purposes as those patients who have properly tried without success almost all available classes of prophylactic medications. Those presenting with medication overuse should have tried at least two previous detoxification treatments. A full psychopathological assessment will be performed by a psychiatrist, to exclude mainly psychotic disorder, ongoing severe status of an affective disorder, severe post traumatic stress disorder. Headache characteristics and abortive treatments used will be reported daily on a predisposed diary during 3-month baseline and continuously through the post implant follow up, while disability and QoL scale (MIDAS, SF-12) will be completed baseline, 6 and 12 months after implant.

Keywords

Neuromodulation Occipital nerve stimulation Chronic daily headache Chronic migraine Drug-resistant headache 

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Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • A. Proietti Cecchini
    • 1
  • M. Leone
    • 1
  • G. C. Manzoni
    • 2
  • P. Torelli
    • 2
  • G. Bussone
    • 1
  1. 1.Headache Centre, Neuromodulation Unit and Neurological DepartmentFondazione IRCCS, Istituto Neurologico Carlo BestaMilanItaly
  2. 2.Headache CentreUniversity of ParmaParmaItaly

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