OBJECTIVE To explore a mcthod of trcating migraine attack. BACKROUND Migraine is the most common disorder which causcs .severe headache, nausea and vomiting in attack continuing several hours. There is little method to cease migraine attack quickly. METHOD The patients lied down and kept the head backward. Lidocain 2% 1 to 2 ml was slowly instilled into the nostril ipsilatcral to thc headache. RESULTS Pain relief was achievcd in minutes. The headache disappeared in 19 cases and slight headache rcmained in 2 cases mong 21 cascs. TCD (transcranial dopple ) was tested in 6 cases before thc treatment and 5 minutes after thc treatment. The results showed that CBF (cerebral blood flow) velocity diminished before thc treatment and increased to normal value after the treatment in 5 cases, and it increased beforc thc treatment in another case and diminished after the treatment. DISSCUSION Thc migraine attacks are associated with dysfunction of the vascular constriction and vasodilatation. It was reported that Lidocain had diplex effect that induce the vascular constriction and also induce vasodilatation on the bases of regulation of the autonomic nerves. Medications to abort the attack dramatically by the transnasal route.. CONCLUSION This method is casy to use, painless and effective.
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