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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.
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| Measure | Description | Time Frame |
|---|---|---|
| Descriptions of professional practices in the management of intracranial hypotension by blood patch at the University Hospitals of Strasbourg | 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. | Through study completion, an average of 2 months |
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Inclusion Criteria:
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
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Major subject (≥18 years old) having benefited from a bloodpatch between 01/01/2021 and 12/31/2022
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Stefanie KOESSLER, MD | Contact | 33 3 88 12 70 90 | stefanie.koessler@chru-strasbourg.fr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Service d'Anesthésie Réanimation médecine Péri-Opératoire - CHU de Strasbourg - France | Recruiting | Strasbourg | 67091 | France |
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| ID | Term |
|---|---|
| D019585 | Intracranial Hypotension |
| D051299 | Post-Dural Puncture Headache |
| D014717 | Vertigo |
| ID | Term |
|---|---|
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D051271 | Headache Disorders, Secondary |
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| D020773 | Headache Disorders |
| D015837 | Vestibular Diseases |
| D007759 | Labyrinth Diseases |
| D004427 | Ear Diseases |
| D010038 | Otorhinolaryngologic Diseases |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |