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Treatment of Acute Migraine With Intravenous Droperidol

Patients in a general internal medicine practice with complaints of chronic headache and related neck discomfort for at least 6 months were recruited. One percent lidocaine was injected at the tendino-osseous junction at tender unilateral or bilateral occipital areas in the internuchal line space. If temporary relief of headache symptoms resulted, then they were eligible for treatment, Seventeen patients were injected in the same area with dextrose diluted in 1% lidocaine to 12.5% strength according to the method of Hackett.1 Injections were repeated at approximately 2-week intervals up to a maximum of seven sets of injections. Eleven of the 17 patients were improved or relieved of symptoms. At a 2-year follow-up, 9 had sustained complete relief of headache symptoms, 1 was partially improved, and 1 had relapsed. There were no complications.