Health Condition 1: G89-G99- Other disorders of the nervous system
Conditions
Interventions
Intervention1: EPIDURAL BLOOD PATCH(EBP): Lumbar EBP will be delivered by team of anaesthetists, through a midline approach under aseptic condition at the lumbar spine region (L2 L5). 20 ml of autolog
Sponsors
Institute Of Neurosciences, KOlkata
Eligibility
Inclusion criteria
Inclusion criteria: ASA GRADE 1 and 2 NOT RESPONDING TO CONSERVATIVE TREATMENT BMI less than 24 kg/metre square DIAGNOSED WITH SIH EITHER IN CT OR MRI
Exclusion criteria
Exclusion criteria: GCS less than 14 ASA Grade III/ IV Patients with previous history of surgeries involving Lumbar area e.g. 1. Scoliosis correction surgery 2. Spinal instrumentation surgery History of congestive heart failure/ valvular heart disease/significant coronary artery diseases / cardiac conduction block/ chronic kidney diseases/ hepatic disease/ pulmonary disease/ neuropsychiatric disorders/ coagulation abnormality Puncture site infection Orbital injury with ocular trauma Known structural orbital disease Patients with hypersensitivity to any of the local anaesthetics in use
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Headache (Measured by Numeric Pain Rating Scale) Optic Nerve Sheath DiameterTimepoint: Pre Procedure 15 Minutes Post Procedure 6 Hours Post Procedure 12 Hours Post Procedure 24 Hours Post Procedure 48 Hours Post Procedure | — |
Secondary
| Measure | Time frame |
|---|---|
| Glasgow Coma Scale Mean Arterial Pressure Heart Rate Oxygen Saturation Timepoint: Pre Procedure 15 Minutes Post Procedure 6 Hours Post Procedure 12 Hours Post Procedure 24 Hours Post Procedure 48 Hours Post Procedure | — |
Countries
India
Contacts
Public ContactDr. Dimple Shah
INSTITUTE OF NEUROSCIENCES. KOLKATA
Outcome results
None listed