Post-Traumatic Headache Clinical Trial
Official title:
Abobotulinumtoxina Efficacy in Post-Traumatic Headache
This study will evaluate the efficacy of abobotulinumtoxina on Veterans with post-traumatic headache
A significant proportion of headaches occur following head trauma, and therefore are referred
to as post-traumatic headaches (PTH). Traumatic brain injury (TBI) is highly prevalent in the
Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) population and consequently
there has been a rise in PTH in the clinical setting at VA hospitals. Botulinum toxin type A
(BoNT-A) has been shown to be effective in treating chronic migraine and chronic daily
headache. It is therefore reasonable to predict that BoNT-A may also be effective in treating
PTH. This study proposes that PTH and its associated symptoms may respond positively to
BoNT-A treatment due to its similar pathophysiology and clinical resemblance to other
headache disorders including tension type headache, typical migraine with or without aura,
and chronic daily headache.
Study Design: Veterans with mild, moderate or severe brain injury with a headache developing
within 7 days after head trauma and persisting greater than 3 months were recruited from the
Veterans Affairs Greater Los Angeles Healthcare System. The study is a prospective,
double-blind, randomized, placebo-controlled, cross-over trial.
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