Lidocaine and Steroids for Headache in Subarachnoid Hemorrhage

This study is looking at whether infusing lidocaine, with or without dexamethasone (a steroid), into a specific artery in the head can help reduce severe headaches in people who have had a subarachnoid hemorrhage (SAH). SAH is bleeding in the space around the brain. Researchers want to see if this treatment is safe and if it lowers pain levels and the need for opioid pain medications. You may be able to join if you are 18 to 100 years old, have been diagnosed with aneurysmal SAH (a type of SAH) with specific grades (Hunt and Hess Grades 1-2), and do not have allergies to the study medications or certain other brain conditions. The study plans to enroll 15 participants. Success will be measured by changes in your pain scores and how much pain medication you need.

Study design
This is a single-arm study, meaning all participants will receive an intervention, with a planned enrollment of 15 people. It compares three groups: lidocaine alone, lidocaine with dexamethasone, and no injection.
What's involved
You will undergo a standard brain angiogram (an imaging test) and may receive the medication during this procedure. You will be monitored closely for changes in pain and medication use.
Compensation
Not stated in the trial record.
Follow-up
You will have follow-up visits at 1, 3, and 6 months after the procedure to track outcomes and side effects.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT07294118

Infusion of Lidocaine and Steroids in Middle Meningeal Artery for Pain in Subarachnoid Hemorrhage

Recruiting
PHASE2Ages 18+InterventionalTreatment
The University of Texas Medical Branch, Galveston
~15 participants
Updated 2026-01-09 on ClinicalTrials.gov
What's tested:LidocaineLidocaine and Dexamethasone

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Visual Analog Scale (VAS) Score
Measured over Baseline
+1 more outcome measured
Subarachnoid Hemorrhage, Aneurysmal
Headache
Opiate Dependence
Opioid Use
1 sites across 1 states
Texas1
  • Kan Peter, MD · PRINCIPAL_INVESTIGATOR · University of Texas Medical Branch, Galveston

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Eligibility criteria

Inclusion

Age ≥18 years.
Diagnosed with aneurysmal SAH, Hunt and Hess Grades 1-2.
Consent to study procedures and follow-up evaluations.

Exclusion

Known allergies to lidocaine or steroids.
Arteriovenous malformations.
Dural Arteriovenous Fistulas.
Other significant intracranial pathologies.
Hemodynamic instability preventing safe intervention.
Previous MMA interventions.
Previous craniotomies or need for craniotomy.
Need for external ventricular drain.
  • Visual Analog Scale (VAS) ScoreBaseline

    The Visual Analog Scale (VAS) is a validated, subjective measure for assessing pain intensity. It consists of a 10-centimeter horizontal line anchored by two extremes: "no pain" (0 mm) and "worst imaginable pain" (100 mm). Participants indicate their pain level by marking a point along the line that corresponds to their current pain intensity. The score is determined by measuring the distance in millimeters from the "no pain" anchor to the participant's mark, yielding a score between 0 and 100 mm. Higher scores represent greater pain intensity.

  • Visual Analog Scale (VAS) ScoreEvery 4 hours for 24 hours following the procedure

    The Visual Analog Scale (VAS) is a validated, subjective measure for assessing pain intensity. It consists of a 10-centimeter horizontal line anchored by two extremes: "no pain" (0 mm) and "worst imaginable pain" (100 mm). Participants indicate their pain level by marking a point along the line that corresponds to their current pain intensity. The score is determined by measuring the distance in millimeters from the "no pain" anchor to the participant's mark, yielding a score between 0 and 100 mm. Higher scores represent greater pain intensity.