A Method of Treatment for Head Pain

Rosner, Fred

doi:10.1111/j.1526-4610.1968.hed0802065.x

Cited by 2 publications

(2 citation statements)

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“…Since the 1980s, IV lidocaine has been used for the treatment of various chronic pain conditions. Shortly thereafter, Rosner reported his observations on the efficacy of IV lidocaine in the treatment of headaches [18]. In 1988, Maciewicz et al was the first group to evaluate the effectiveness of a single bolus dose of IV lidocaine in patients with "vascular headaches" [19].…”

Section: Background and Clinical Usesmentioning

confidence: 99%

Beyond the Raskin Protocol: Ketamine, Lidocaine, and Other Therapies for Refractory Chronic Migraine

Mojica

Schwenk

Lauritsen

et al. 2021

Curr Pain Headache Rep

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Purpose of Review The purpose of this review is to discuss the available evidence and therapeutic considerations for intravenous drug therapy for refractory chronic migraine. Recent Findings In carefully monitored settings, the inpatient administration of intravenous lidocaine and ketamine can be successful in treating refractory chronic migraine. Summary Many patients with refractory chronic migraine have experienced treatment failure with the Raskin protocol. The use of aggressive inpatient infusion therapy consisting of intravenous lidocaine or ketamine, along with other adjunctive medications, has become increasingly common for these patients when all other treatments have failed. There is a clear need for prospective studies in this population comprised of patients who have largely been excluded from other studies.

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Section: Background and Clinical Usesmentioning

confidence: 99%

Beyond the Raskin Protocol: Ketamine, Lidocaine, and Other Therapies for Refractory Chronic Migraine

Mojica

Schwenk

Lauritsen

et al. 2021

Curr Pain Headache Rep

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“…Lidocaine has been used as a local anaesthetic since 1943 and as an anti-arrhythmic drug since 1950 (1). It has been used systemically in chronic and acute pain states since 1961 (2) and in headache patients since 1984 (3). Lidocaine can be a useful adjunct in some patients with headache, with the most substantial concern for neurologists and headache specialists being that of cardiac side-effects.…”

Section: Introductionmentioning

confidence: 99%

Neuropsychiatric Side-Effects of Lidocaine: Examples from the Treatment of Headache and a Review

Gil‐Gouveia

Goadsby

2009

Cephalalgia

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Lidocaine has been used in treatment of patients with refractory headache. Personal observations of neuropsychiatric toxicity in these patients led us to review our cases and the literature systematically for lidocaine side-effects, especially neuropsychiatric symptoms. In our series of 20 patients, side-effects were observed in all, the most frequent being neuropsychiatric (75%) and cardiological (50%). When reviewing published series on intravenous lidocaine use, reports of side-effects range from 0 to 100%, with neuropsychiatric symptoms being reported in 1.8-100%. Thirty-six case reports of lidocaine-induced psychiatric symptoms were also analysed. Psychiatric symptoms of toxicity were similar in most patients, despite their differing ages, pathologies, co-therapies and lidocaine dosages. In conclusion, lidocaine neuropsychiatric toxicity has a well-recognized stereotypical clinical presentation that is probably unrecognized in headache series. As lidocaine represents an emerging alternative therapy in headache, particularly in short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing, clinicians and patients should be aware of the extent of this problem.

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A Method of Treatment for Head Pain

Cited by 2 publications

References 0 publications

Beyond the Raskin Protocol: Ketamine, Lidocaine, and Other Therapies for Refractory Chronic Migraine

Beyond the Raskin Protocol: Ketamine, Lidocaine, and Other Therapies for Refractory Chronic Migraine

Neuropsychiatric Side-Effects of Lidocaine: Examples from the Treatment of Headache and a Review

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