Impact of Spinal Needle Gauge on Optic Nerve Sheath Diameter in Patients With Post-Dural Puncture Headache
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Optic nerve sheath diameter (ONSD)
Study Overview
Brief Summary
This study aims to investigate the relationship between spinal needle size and optic nerve sheath diameter (ONSD) in patients who develop post-dural puncture headache (PDPH) after spinal anesthesia. ONSD is measured using ultrasound, which helps estimate changes in brain pressure. The study also examines whether the severity of headache is related to ONSD. Adult patients aged 18 to 75 years who develop PDPH will be included. This research will be conducted at Konya City Hospital and is expected to last for approximately six months.
Detailed Description
This prospective observational study investigates the relationship between spinal needle gauge and optic nerve sheath diameter (ONSD) in patients who develop post-dural puncture headache (PDPH) following spinal anesthesia. ONSD is measured using ultrasound as a non-invasive marker of intracranial pressure. The study also aims to evaluate the association between headache severity, assessed by the Visual Analog Scale (VAS), and ONSD values. Patients aged 18-75 years with PDPH will be included, and data on spinal needle gauge, ONSD, and VAS scores will be analyzed. The study is being conducted at a single tertiary care center and aims to contribute to understanding the physiopathology of PDPH and its relation to procedural factors.
Study Design
- Study Type
- Observational
- Observational Model
- Case Only
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 18 Years to 75 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients diagnosed with postdural puncture headache (PDPH)
- •Male and female patients aged 18-75 years
- •Patients classified as American Society of Anesthesiologists (ASA) physical status I-III
Exclusion Criteria
- •Presence of neurological or ophthalmological disorders
- •History of head trauma within the past 6 months
- •Hypertension
- •Hepatic encephalopathy
- •Renal failure
- •Pregnancy
- •History of chronic headache or migraine
- •Refusal to participate
- •Inability to obtain reliable optic nerve sheath diameter (ONSD) measurements
- •Communication difficulties preventing assessment
- •Incomplete or inaccessible medical records
Outcomes
Primary Outcomes
Optic nerve sheath diameter (ONSD)
Time Frame: Within 4 hours of anesthesia consultation for postoperative headache
The primary outcome is the measurement of optic nerve sheath diameter (ONSD) via ocular ultrasound in patients who develop postoperative headache attributed to dural puncture. This non-invasive assessment is used to estimate intracranial pressure. The aim is to evaluate whether different spinal needle gauges affect ONSD measurements.
Secondary Outcomes
- Pain severity assessed by Visual Analog Scale (VAS)(Within 4 hours of anesthesia consultation for postoperative headache)
Investigators
Nuran Akıncı Ekinci
MD, Specialist in Anesthesiology
Konya City Hospital