Evidence map›Paper›PMID 25623151›Full record

Observational studyThe journal of headache and pain2015

Therapeutic effect of intranasal evaporative cooling in patients with migraine: a pilot study.

Jitka Vanderpol, Barbara Bishop, Manjit Matharu, Mark Glencorse

4 registry-linked trialsOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in The journal of headache and pain, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.4field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01898455 nacompletednot on this map

IntraNasal Evaporative Cooling for the Symptomatic Relief of Migraine and Cluster Headache

TypeinterventionalSponsorCumbria Partnership NHS Foundation TrustRan2013 to 2014Enrolled15ConditionsMigraine, Cluster HeadacheArmsRhinoChill intranasal cooling
NCT03167060 nacompletednot on this mapstarted 2017, after this paper: background citation

Nasal Cavity Cooling for the Symptomatic Relief of Migraine Headache - A Randomized, Double Blind, Placebo Controlled Study" , the BrainCool-Migraine Study

TypeinterventionalSponsorCumbria Partnership NHS Foundation TrustRan2017 to 2019Enrolled90ConditionsMigraineArmsActive RhinoChill, Control Rhinochill
NCT04660864 nacompletednot on this mapstarted 2021, after this paper: background citation

Nasal Cavity Cooling for the Symptomatic Relief of Migraine Headache - a Pilot Study

TypeinterventionalSponsorLund UniversityRan2021 to 2021Enrolled15ConditionsMigraineArmsNasal cavity cooling device.
NCT04973085 nacompletednot on this mapstarted 2021, after this paper: background citation

Effect of a Novel Cooling Device on Brain Temperature

TypeinterventionalSponsorUniversity of VermontRan2021 to 2022Enrolled22ConditionsHealthyArmsCold circulated water, Body-temperature circulated water
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 18 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. A bibliometric review of drug repurposing.Drug discovery today · 2018
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Jitka VanderpolNeurology Department, Cumbria Partnership NHS Trust, Penrith, Cumbria, UK. jitka.vanderpol@cumbria.nhs.uk.
Barbara Bishop
Manjit Matharu
Mark Glencorse
North Cumbria Integrated Care NHS Foundation Trust · GBUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCryotherapy is the most common non-pharmacological pain-relieving method. The aim of this pilot study was to ascertain whether intranasal evaporative cooling may be an effective intervention in an acute migraine attack. Studies have previously demonstrated effectiveness of a variety of cryotherapy approaches. Intranasal evaporative cooling due to vascular anatomy, allows the transfer of venous blood from nasal and paranasal mucous membranes to the dura mater, thereby providing an excellent anatomical basis for the cooling processes.

methodsWe conducted a prospective, open-label, observational, pilot study. Twenty-eight patients who satisfied the International Classification of Headache Disorders (ICHD 2) diagnostic criteria for migraine were recruited. A total of 20 treatments were administered in 15 patients. All patients provided pain severity scores and migraine-associated symptoms severity scores (based on a 0-10 visual analogue scale, [VAS]).

resultsOut of the 20 treatments, intranasal evaporative cooling rendered patients' pain and symptoms free immediately after treatment, in 8 of the treatments (40%), a further 10 treatments (50%) resulted in partial pain relief (headache reduced from severe or moderate to mild) and partial symptoms relief. At 2 hours, 9 treatments (45%) provided full pain and symptoms relief, with a further 9 treatments (45%) resulting in partial pain and symptoms relief. At 24 hours, 10 treatments (50%) resulted in patients reporting pain and symptom freedom and 3 (15%) provided partial pain relief. In summary 13 patients (87%) had benefit from the treatment within 2 hours that was sustained at 24 hours.

conclusionsIntranasal evaporative cooling gave considerable benefit to patients with migraine, improving headache severity and migraine-associated symptoms. A further randomised, placebo controlled, double blinded, parallel clinical trial is required to further investigate the potential of this application.

trial registrationClinicaltrials.gov registered trial, ClinicalTrials.gov Identifier: NCT01898455.

Indexed as

Administration, IntranasalAdultAgedCryotherapyFeasibility StudiesFemaleFluorocarbonsHumansMaleMiddle AgedMigraine DisordersPain MeasurementPilot ProjectsProspective StudiesTime FactorsFluorocarbonsperflexane

Identifiers

PMID25623151
PMCPMC4405521
OpenAlexW2167758861

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.