About this trial
The purpose of this research is to gather information on the safety and feasibility of coiling the lumbar vein for the treatment of chronic headaches in patients with Nutcracker physiology and retrograde lumbar vein flow with epidural venous plexus congestion. All patients are extensively evaluated by a headache trained Neurologist confirming high pressure headache refractory to other treatments.
Eligibility criteria
Qualifiers
Daily headache from onset lasting > 3 months.
Headache described as pressure sensation.
Headache worsened in the Trendelenburg position.
Exposed to CSF pressure/volume lowering medications.
Disqualifiers
Evidence of disc edema.
Positive urinalysis for hematuria or proteinuria.
Abnormal CBC or CMP.
MRI, MRA head and neck and MR venogram with a possible secondary causes of headache including space occupying lesions, Chiari malformation, cerebral vein thrombosis, hydrocephalus, dissection, aneurysm etc.
Trial design
Treatments tested in this trial
- Coil Embolization of the Lumbar Vein