Exploring causes and treatments for postural puncture headache
Official title: Cerebral Hemodynamics and Cerebrospinal Fluid Dynamics in Postdural Puncture Headache An MRI Study for Exploring the Pathophysiological Mechanisms and Implication of Treatment
Run by Umeå University · NCT06253754 · Data updated 2026-11-12
This study is trying to understand what causes post-dural puncture headaches and how treatments like epidural blood patches can help people who get them after a lumbar puncture.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 20 Years to 40 Years |
| Sex | All |
| Enrollment | 160 (estimated) |
| Sponsor | Umeå University Academic / other |
| Locations | 1 site (Umeå, Västerbotten County) |
| Status | Recruiting |
| Started | January 30, 2024 |
| Main results expected | December 28, 2027 |
| Study ends | December 28, 2027 |
| Registry record updated | February 12, 2024 |
| Trial ID | NCT06253754 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are individuals aged 20-40 who are experiencing postural puncture headaches.
✕Probably not a fit
Patients with other central neurological disorders, acute medical conditions, or those who are pregnant will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study aims to investigate the pathophysiology of post-dural puncture headache (PDPH) using advanced MRI techniques. By examining cerebral blood flow, cerebrospinal fluid dynamics, and the effects of epidural blood patches, the study seeks to enhance understanding of this common complication following lumbar punctures. The research focuses on how dural puncture alters central nervous system dynamics and aims to provide insights that could lead to improved treatment options for affected patients.
Why it matters
Potential benefit: If successful, this study could lead to better treatment strategies for patients suffering from post-dural puncture headache.
How similar studies have gone: While there have been studies on PDPH, this approach using advanced MRI to explore its pathophysiology is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: Postural puncture headache Age 20-40 Exclusion Criteria: * Other central neurological disorders except the actual * Acute medical condition * Pregnancy * Pacemaker, or other medical implants that are not MRI-compatible * Invasive procedures on the central nervous system or surgery on the spine or brain in the last 12 months.
Where it's running
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Umeå University Hospital
Umeå, Västerbotten County, Sweden Recruiting
Study contacts
- Principal investigator: Laleh Zarrinkoob, MD, PhD — Umeå University
- Study coordinator: Erik Burman, MD
- Email: erik.burman@regionvasterbotten.se
- Phone: 907864594
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Epidural hydroxyethyl starch to prevent post-dural puncture headache in parturients
This study tests whether filling the epidural space with hydroxyethyl starch can help prevent post-dural puncture headaches in women who had an accidental dural puncture during epidural anesthesia for labor or cesarean delivery.
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Predicting Post-Dural Puncture Headache After Spinal Anesthesia in Cesarean Deliveries
This study tests whether changes in optic nerve sheath diameter after spinal anesthesia can predict who will develop a post-dural puncture headache in pregnant women having an elective cesarean.
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Treating post-dural puncture headache with theophylline, sumatriptan, or gabapentin
This trial will try theophylline, sumatriptan, and gabapentin to see which best relieves moderate-to-severe post-dural puncture headache in adults aged 21–50.
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Sphenopalatine ganglion block versus epidural blood patch for post-dural puncture headache
This test compares a sphenopalatine ganglion block and an epidural blood patch to see which relieves post-dural puncture headaches better in adults whose pain hasn't improved after 24 hours of usual treatment.
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Nebulized neostigmine/atropine versus nebulized lidocaine for post-dural puncture headache after cesarean delivery
This trial tests whether inhaled (nebulized) neostigmine with atropine relieves post-dural puncture headache better than inhaled lidocaine in women who develop headache after spinal anesthesia for elective cesarean delivery.
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Impact of altitude on headaches after cesarean delivery
This study is testing how living at different altitudes affects the headaches that women experience after having a cesarean delivery with spinal anesthesia.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.