Post-Dural Puncture Headache
Conditions
Keywords
Post-Dural Puncture Headache (PDPH), Intracranial Hypotension, Spinal Anesthesia Complication, Optic Nerve Sheath Diameter, Spinal Needle Gauge
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.
Interventions
None listed
Sponsors
Konya City Hospital
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Optic nerve sheath diameter (ONSD) | 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
| Measure | Time frame | Description |
|---|---|---|
| Pain severity assessed by Visual Analog Scale (VAS) | Within 4 hours of anesthesia consultation for postoperative headache | Pain severity will be scored using the Visual Analog Scale (VAS), ranging from 0 (no pain) to 10 (worst imaginable pain), during the anesthesia consultation conducted for postoperative headache. This measure will be compared with ONSD values. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Spinal Needle Gauge | Retrieved from procedure documentation at the time of spinal anesthesia | The gauge (diameter in G) of the spinal needle used for the neuraxial procedure will be extracted from anesthesia records. The goal is to assess whether the spinal needle size is associated with ONSD measurements in patients with postoperative headache. |
Countries
Turkey (Türkiye)
Outcome results
None listed