The Blood Patch in the Management of Intracranial Hypotension

Recruiting

• Conditions: Intracranial Hypotension

• Registration Number: NCT06498804
• Lead Sponsor: University Hospital, Strasbourg, France

Brief Summary

Intracranial hypotension results from leakage and/or hypotension of cerebrospinal fluid. It can be spontaneous or secondary to a dural puncture complicating perimedullary anesthesia or a lumbar puncture. The incidence remains low with less than 1% post spinal puncture (25 gauge needle), but is observed more frequently following a lumbar puncture, up to 36% with a 20 or 22 gauge needle. Accidental puncture of the dura mater with a 17 gauge needle used for epidural anesthesia is associated with postpuncture headaches in 75-80% of cases. Classically, symptoms appear 24 to 48 hours after the puncture and consist of very intense, postural, fronto-occipital headaches which may be associated with cranial nerve symptoms such as visual or hearing disturbances or vertigo. Among the risk factors are the size and type of the needle, age under 60 and female gender. About 90% of PDPH are self-limiting within 7-10 days.

Detailed Description

Not available

Study Timeline

• Study Start: 2023-09-05
• Status Verified: 2024-04
• Study First Submitted: 2024-04-04
• Study First Submitted QC: 2024-07-04
• Last Update Submitted: 2024-07-04
• Study First Posted: 2024-07-12
• Last Update Posted: 2024-07-12
• Primary Completion: 2024-12
• Study Completion: 2024-12-05

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

• Major subject (≥18 years old)
• Subject having benefited from a bloodpatch between 01/01/2021 and 12/31/2022

Exclusion Criteria

• Subject (and/or their legal representative if applicable) having expressed their (their) opposition to the reuse of their data for scientific research purposes

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Descriptions of professional practices in the management of intracranial hypotension by blood patch at the University Hospitals of Strasbourg	Through study completion, an average of 2 months	This retrospective study focuses on the description of the practices of doctors at the Strasbourg University Hospital in the management of intracranial hypotension by blood patch.

Trial Locations

Locations (1)

Service d'Anesthésie Réanimation médecine Péri-Opératoire - CHU de Strasbourg - France; 🇫🇷 Strasbourg, France