Injection of plasma-rich fibrin for treating postdural puncture headaches

Plasma Rich Fibrin Epidural Injection by Racz Catheter in Postdural Puncture Headache Guided Optic Nerve Sheath Diameter

Not applicable Interventional Tanta University · NCT06790758

This study is testing whether injections of plasma-rich fibrin can help people with postdural puncture headaches feel better.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment60 (estimated)
Ages18 Years to 65 Years
SexAll
SponsorTanta University Academic / other
Locations1 site (Tanta, El-Gharbia)
Trial IDNCT06790758 on ClinicalTrials.gov

What this trial studies

This study evaluates the effectiveness of plasma-rich fibrin (PRF) epidural injections administered via a Racz catheter for patients suffering from postdural puncture headaches (PDPHs). The approach involves using PRF, which is derived from the patient's own blood and contains growth factors that may promote healing. The optic nerve sheath diameter (ONSD) will be monitored to assess changes in intracranial pressure, which can be related to the severity of PDPHs. The study aims to provide a novel treatment option for this common complication following dural puncture procedures.

Who should consider this trial

Good fit: Ideal candidates for this study are adults aged 18 to 65 who are experiencing severe postdural puncture headaches.

Not a fit: Patients with severe comorbid conditions, those on anticoagulant therapy, or individuals with a BMI of 35 kg/m2 or higher may not benefit from this study.

Why it matters

Potential benefit: If successful, this treatment could significantly alleviate the pain and complications associated with postdural puncture headaches.

How similar studies have performed: While the use of plasma-rich fibrin in pain management is gaining popularity, this specific application for postdural puncture headaches is relatively novel and has not been extensively tested in prior studies.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age from 18 to 65 years.
* Both sexes.
* Patients suffering from severe post-dural puncture headache.

Exclusion Criteria:

* Uncooperative patients.
* Severe comorbid conditions.
* Pregnancy.
* Anticoagulant therapy.
* Known allergies to plasma rich fibrin components.
* Body mass index (BMI) ≥35 kg/m2.

Where this trial is running

Tanta, El-Gharbia

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Plasma Rich FibrinEpiduralRacz CatheterPostdural Puncture HeadacheOptic Nerve Sheath Diameter
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.