Juvenile Postlumbar Puncture Headache After Puncture With Needles With Quincke Tip or With Sprotte Tip

Postlumbar Puncture Complaints After Lumbar Punctures in Children and Adolescents: Frequency and Impact by Compariosn of Two Needle Designs

Status

UNKNOWN

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT00450060

Enrollment

150

Registered

2007-03-21

Start date

2007-01-31

Completion date

2007-12-31

Last updated

2007-03-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Headache

Keywords

postlumbar puncture headache, atraumatic needle, Sprotte, Quincke, lumbar puncture, headache, backache

Brief summary

The purpose of this study is to compare postlumbar puncture complaints as headache or backache after lumbar puncture with needles with Quincke design or with Sprotte design in children and adolescents.

Detailed description

After lumbar puncture patients may develop complaints as position dependent headache, other headache or backache. Several though not all studies in adults showed that the frequency of complaints can be reduced by using non-traumatic Sprotte-design needles instead of cutting Quincke-design needles. In children and adolescents there are no comparable data published. In most pediatric hospitals in Germany Quincke needles are used. Comparison: Children and adolescents from 4 to 18 years of age who have to undergo a lumbar puncture are randomly attributed to puncture with Quincke needle or with Sprotte needle. During the following days headache (main criterium), position-dependent headache, backache, vomitus, and malaise are noted. Pain is measured with a visual analogue scale/faces scale.

Interventions

DEVICElumbar puncture with Quincke-design needles

DEVICElumbar puncture with Sprotte-design needles

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

PREVENTION

Masking

DOUBLE

Eligibility

Sex/Gender

ALL

Age

4 Years to 18 Years

Healthy volunteers

Inclusion criteria

* lumbar puncture necessary for diagnostic reasons

Exclusion criteria

* intrathecal instillation at lumbar puncture * patients in whom severity of disease make it impossible to judge endpoint criteria

Design outcomes

Primary

Measure	Time frame
headache frequency	—
headache intensity	—

Secondary

Measure	Time frame
backache frequency	—
position dependent-headache frequency	—
practicability of needle designs (multiple punctures necessary?, longer lasting?	—
backache intensity	—
position dependent-headache intensity	—

Countries

Germany

Contacts

Primary ContactFriedrich Ebinger, DM

friedrich.ebinger@med.uni-heidelberg.de#49-6221-568488

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026