Efficacy of Scalp Block in Managing Post Subarachnoid Hemorrhage Headache in Critically Ill Patients. A Single Centre Randomized Controlled Trial
Recruiting now · Not applicable
Conditions studied: Aneurysmal Subarachnoid Hemorrhage (aSAH), Headache Disorders
In brief
Subarachnoid hemorrhage (SAH) is a devastating neurological disorder associated with significant mortality and morbidity rates, arising not just from the hemorrhage itself but also because of the catastrophic multisystem sequelae that can accompany the condition. Rupture of an intracranial aneurysm accounts for up to 85% of instances of SAH, occurring in approximately 3 to 25 people per 100,000 annually in most populations. Treatment of aneurysmal SAH (aSAH) includes prevention of re-bleeding, evacuation of space-occupying hematomas, management of hydrocephalus, and prevention of secondary cerebral insult. Severe headache is the predominant characteristic symptom of aSAH, developing almost instantaneously at ictus in 50% of cases and continuing into the first days. Its severity has a variety of physiological and psychological effects on the patient. Scalp blocks have been suggested to alleviate this headache in case series. However, there is no strong evidence supporting this intervention. In this study, we aim to assess the impact of scalp blocks on headache reduction in patients undergoing endovascular treatment of an aneurysm (coiling or flow diversion) with aneurysmal subarachnoid bleeding.
Key facts
- Study ID
- NCT07307508
- Run by
- Hamad Medical Corporation
- People needed
- 22
- Starts
- 2025-10-22
- Expected to finish
- 2026-12-30
- Last updated by the study team
- 2025-12-29
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- All adults > 18 years who are admitted to the Surgical Intensive Care Unit (SICU) with a confirmed diagnosis of aneurysmal subarachnoid hemorrhage, undergoing endovascular treatment of the aneurysm (coiling/flow diversion).
You may not qualify if…
- Patients with aSAH undergoing surgical craniotomy and aneurysmal clipping.
- Non-aneurysmal subarachnoid or other intracranial hemorrhage forms (e.g., Intracerebral hemorrhage).
- SICU admission Glasgow Coma Scale (GCS) of 13 or lower.
- WFNS Score 4 / 5 or requiring mechanical ventilation for more than 24 hrs.
- Patients with known allergy to local anesthetics.
- Admission to ICU > 7 days after hemorrhage.
- Patients with a documented bleeding disorder.
- Patients with a history of chronic headache disorder or migraine.
- Pregnancy
Where it is running
- Hamad Medical Corporation — Doha, Qatar (enrolling)
Full record on ClinicalTrials.gov
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