{"id":17561,"date":"2015-03-05T09:38:33","date_gmt":"2015-03-05T14:38:33","guid":{"rendered":"http:\/\/therapytoronto.ca\/news\/?p=17561"},"modified":"2015-03-05T13:40:30","modified_gmt":"2015-03-05T18:40:30","slug":"image-guided-treatment-shown-to-break-the-migraine-cycle","status":"publish","type":"post","link":"https:\/\/therapytoronto.ca\/news\/2015\/03\/image-guided-treatment-shown-to-break-the-migraine-cycle\/","title":{"rendered":"Image-guided treatment shown to break the migraine cycle"},"content":{"rendered":"<p>From the Society of Interventional Radiology media release:<\/p>\n<blockquote><p><a href=\"http:\/\/therapytoronto.ca\/news\/wp-content\/uploads\/2013\/12\/brain-waves-eeg.jpg\"><img loading=\"lazy\" class=\"alignright size-full wp-image-15977\" alt=\"brain waves eeg\" src=\"http:\/\/therapytoronto.ca\/news\/wp-content\/uploads\/2013\/12\/brain-waves-eeg.jpg\" width=\"290\" height=\"218\" \/><\/a>An innovative <strong>interventional radiology treatment has been found to offer chronic migraine sufferers sustained relief of their headaches<\/strong>, according to research being presented at the Society of Interventional Radiology&#8217;s Annual Scientific Meeting.<\/p>\n<p>Clinicians at Albany Medical Center and the State University New York Empire State College in Saratoga Springs used a treatment called <strong>image-guided, intranasal sphenopalatine ganglion (SPG) blocks to give patients enough ongoing relief that they required less medication to relieve migraine pain<\/strong>.<\/p>\n<p>&#8220;Migraine headaches are one of the most common, debilitating diseases in the Unites States, and the cost and side effects of medicine to address migraines can be overwhelming,&#8221; said Kenneth Mandato, M.D., the study&#8217;s lead researcher and an interventional radiologist at Albany Medical Center. &#8220;Intranasal sphenopalatine ganglion blocks are image-guide, targeted, breakthrough treatments. <strong>They offer a patient-centered therapy that has the potential to break the migraine cycle and quickly improve patients&#8217; quality of life<\/strong>,&#8221; he added.<\/p>\n<p>Mandato and his team conducted a retrospective analysis of 112 patients suffering migraine or cluster headaches. Patients reported the severity of their headaches on a visual analogue scale (VAS), ranging from 1-10, to quantify the degree of debilitation experienced from the migraine. During <strong>the treatment, which is minimally invasive and does not involve needles touching the patient, researchers inserted a spaghetti-sized catheter through the nasal passages and administered 4 percent lidocaine to the sphenopalatine ganglion<\/strong>, a nerve bundle just behind the nose associated with migraines.<\/p>\n<p>Before treatment, patients reported an average VAS score of 8.25, with scores greater than 4 at least 15 days per month. <strong>The day after the SPG block patients&#8217; VAS scores were cut in half, to an average of 4.10<\/strong>. Thirty days after the procedure, patients reported an average score of 5.25, a 36 percent decrease from pretreatment. Additionally, 88 percent of patients indicated that they required less or no migraine medication for ongoing relief.<\/p>\n<p>&#8220;Administration of lidocaine to the sphenopalatine ganglion acts as a &#8216;reset button&#8217; for the brain&#8217;s migraine circuitry,&#8221; noted Mandato. &#8220;<strong>When the initial numbing of the lidocaine wears off, the migraine trigger seems to no longer have the maximum effect that it once did<\/strong>. Some patients have reported immediate relief and are making fewer trips to the hospital for emergency headache medicine,&#8221; he said. Because of the minimally invasive nature of the treatment and the medication&#8217;s safety profile, Mandato believes patients can have the SPG block repeated, if needed.<\/p>\n<p>While patients reported relief from their migraines, Mandato added that <strong>SPG blocks are not a cure for migraines; they are a temporary solution<\/strong> as are other current treatment options for chronic headaches. Because of the minimally invasive nature of the treatment and the medication&#8217;s safety profile, Mandato believes patients can have the SPG block repeated, if needed.<\/p>\n<p>To further study SPG blocks, <strong>Mandato will track how the 112 patients have responded six months after treatment<\/strong>. He is also considering conducting a double-blind, prospective study to more rigorously evaluate the effectiveness of SPG blocks in treating chronic migraines.<\/p><\/blockquote>\n<p>Abstract 77: &#8220;Image-guided sphenopalatine ganglion blocks: An IR solution for chronic headaches,&#8221; K. Mandato, G. Siskin, R. Tartaglione, G. Bolotin, C. Stavrakis, M. Englander, L. Keating, A. Herr, Radiology, Albany Medical Center, N.Y.; D. Geer, SUNY Empire State College, Saratoga Springs, N.Y.; SIR Annual Scientific Meeting, Feb. 28-March 5. This abstract can be found at http:\/\/www.sirmeeting.org.<\/p>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p>From the Society of Interventional Radiology media release: An innovative interventional radiology treatment has been found to offer chronic migraine sufferers sustained relief of their headaches, according to research being&#8230; <a class=\"read-more-link\" href=\"https:\/\/therapytoronto.ca\/news\/2015\/03\/image-guided-treatment-shown-to-break-the-migraine-cycle\/\">Read more &raquo;<\/a><!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[6],"tags":[],"_links":{"self":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/17561"}],"collection":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/comments?post=17561"}],"version-history":[{"count":1,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/17561\/revisions"}],"predecessor-version":[{"id":17563,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/17561\/revisions\/17563"}],"wp:attachment":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/media?parent=17561"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/categories?post=17561"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/tags?post=17561"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}