Which treatments for chronic paroxysmal hemicrania (CPH) are ineffective?

Updated: Jun 12, 2019
  • Author: Monica Saini, MD, MBBS; more...
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Answer

Subcutaneous sumatriptan is ineffective. [3]

Anaesthetic blockades of pericranial nerves are said to be ineffective.

Oxygen, lithium, carbamazepine, and other anticonvulsants are ineffective in patients with CPH.

Anesthetic blockade of the occipital nerves and supraorbital nerve has not provided significant relief. Occipital nerve blockade helps in distinguishing CPH and HC from cervicogenic headache. Supraorbital nerve blockade may help in distinguishing hemicrania continua (HC) and supraorbital nerve neuralgia (in which nerve block is markedly effective).

Reliable evidence for the efficacy of chiropractic manipulation, acupuncture, or surgical management in the treatment of CPH does not exist.


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