From the Journals

Mastoid stimulation significantly reduces episodic migraine frequency


 

Episodic migraines were safely and effectively treated using percutaneous mastoid electrical stimulators in a randomized, double-blind, sham-controlled, multicenter trial.

Yang Juan of the department of neurology at the Second People’s Hospital of Chengdu (China), and associates reported that a group of 39 migraine patients who received percutaneous mastoid electrical stimulation (PMES) experienced significantly fewer migraine days, compared with a control group of 37 patients who received sham electrical treatment. After 3 months, migraine days were reduced by 71.3% from baseline, compared with a 14.4% reduction in the control group. About a third of PMES patients experienced no migraines in the third month, whereas no patients in the control group had more than a 75% reduction in migraine incidence.

A woman holds her fingers to the sides of her head during a migraine attack. Central IT Alliance/Thinkstock
Migraine severity in the third month was also significantly reduced in the PMES group, as were symptoms associated with migraines. Acute antimigraine drug use in the third month declined 87.6% in the PMES group. The control group saw no reduction in migraine severity or migraine-associated symptoms, and antimigraine drug use in the third month increased 20.1% from baseline.

There were no adverse reactions reported either in the PMES group or in the control group during the treatment period.

“The best treatment mode including current intensity and duration is unclear. Whether extension of the time interval (e.g., once or twice a week) of PMES treatment may also have preventive effect remains to be determined. In addition, as the patients recruited in this study were not highly disabled, the preventive effect of PMES treatment in patients with more frequent migraine episodes and in patients with chronic migraine needs further study,” the investigators wrote.

Read the full study in Cephalalgia (2016 Nov 7. doi: 10.1177/0333102416678623).

Recommended Reading

A step-wise approach to exertional leg pain
MDedge Family Medicine
Adding foot screening to eye clinic catches diabetic neuropathy
MDedge Family Medicine
Recurrent right upper quadrant abdominal pain
MDedge Family Medicine
Heart failure risk with individual NSAIDs examined in study
MDedge Family Medicine
Beta-blockers reduce pain, opioid use in osteoarthritis
MDedge Family Medicine
Experts: Fewer opioids, more treatment laws mean nothing without better access to care
MDedge Family Medicine
Fibromyalgia management: A multimodal approach
MDedge Family Medicine
Two migraine prevention drugs prove no better than placebo in children
MDedge Family Medicine
How do clinical prediction rules compare with joint fluid analysis in diagnosing gout?
MDedge Family Medicine
Shared medical appointment model shows potential for fibromyalgia patients
MDedge Family Medicine