The Blood Patch in the Management of Intracranial Hypotension

The Blood Patch in the Management of Intracranial Hypotension: Description of a Population and Professional Practices

Status

Recruiting

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT06498804

Acronym

BPIH

Enrollment

Registered

2024-07-12

Start date

2023-09-05

Completion date

2024-12-05

Last updated

2024-07-12

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

Conditions

Intracranial Hypotension

Keywords

Intracranial Hypotension, post-dural puncture headache, cranial nerve symptoms, hearing disturbances, vertigo

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.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

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

Design outcomes

Primary

Measure	Time frame	Description
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.

Countries

France

Contacts

Primary ContactStefanie KOESSLER, MD

stefanie.koessler@chru-strasbourg.fr33 3 88 12 70 90

Outcome results