In this episode, guest-host Dr. Paul Bhogal invites Dr. Adnan Qureshi, an interventional neurologist at the University of Missouri, to share his insights on innovative treatments for migraines.

Dr. Qureshi covers his pioneering work in intra-arterial lidocaine injections and their effect on patients with severe migraines. Injections have shown a significant relief in symptoms immediately following treatment. He emphasizes the importance of identifying the right patient group for such treatments and highlights the potential of interventions beyond standard drug therapy. The conversation also explores the role of interventional neuroradiology in treating migraines and the potential development of new medical devices and alternatives to lidocaine. The podcast ends with Dr. Qureshi endorsing the upcoming Brain Conference and encouraging participation.

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SHOW NOTES

00:00 - Introduction and Overview of Migraine Treatment

05:35 - Initial Experiments with Lidocaine Treatment

17:45 - Potential for New Migraine Treatments

18:23 - Procedure for Intra Arterial Injections of Lidocaine

36:41 - Potential for Other Treatments and Future Research

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RESOURCES

BRAIN Conference London December 2024

Use code ‘BACKTABLE10’ to register:

https://www.millbrook-events.co.uk/event/a68ab951-6a92-4a9a-88ca-3e8dad79d971/summary

Dr. Qureshi’s Email Address:

qureshi@gmail.com

Intra-arterial injection of lidocaine into middle meningeal artery to treat intractable headaches and severe migraine:

https://pubmed.ncbi.nlm.nih.gov/34388298/

MIDAS Score:

https://headaches.org/wp-content/uploads/2018/02/MIDAS.pdf

Chronic headaches and middle meningeal artery embolization:

https://pubmed.ncbi.nlm.nih.gov/33888570/

Intra-arterial lidocaine therapy via the middle meningeal artery for migraine headache: Theory, current practice and future directions:

https://pubmed.ncbi.nlm.nih.gov/37574789/

Dr. Nathan Manning ResearchGate Profile:

https://www.researchgate.net/profile/Nathan-Manning-4