CSF Leak Following Microvascular Decompression: the Benefit of Routine Postoperative Lumbar Tap
NCT ID: NCT01932255
Last Updated: 2015-05-13
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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WITHDRAWN
OBSERVATIONAL
2013-10-31
2014-12-31
Brief Summary
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Prevention of leakage is important since meningitis may follow. Also, leakage usually means longer hospital stay and increased cost.
In case of detected leakage extra sutures may be applied, placement of a lumbar drain may be considered or a revision and improved closure may be attempted. With leakage in the subcutaneous tissue, but not through the skin, a local accumulation causing local symptoms may also occur. In addition to being burdensome and being associated with longer hospital stays with possible revision surgery, such complications are also very costly. The best way to reduce cost and burden, and to improve patient care, is to prevent CSF leakage.
The aim of this study is to determine if prophylactic lumbar tap is beneficial for prevention of cerebrospinal fluid leakage following microvascular decompression, by comparison of surgical approaches in 3 geographical areas in the Scandinavian health system.
Hypothesis: There is no difference in cerebrospinal fluid leakage between the group subject to prophylactic spinal tap versus the group without prophylactic spinal tap.
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Detailed Description
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Conditions
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Study Design
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CASE_CONTROL
RETROSPECTIVE
Study Groups
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prophylactic spinal tap
Microvascular decompression surgery approach at the Karolinska University Hospital, i.e. a small craniectomy (removal of bone without putting it back), and postoperatively serial prophylactic lumbar tap
prophylactic spinal tap
no prophylactic spinal tap
Microvascular decompression surgery approach at St Olavs Hospital Trondheim University Hospital and the University Hospital of North Norway, i.e. not comprising a policy of preventing CSF leak by performing prophylactic lumbar taps or its equivalents
no prophylactic spinal tap
Interventions
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prophylactic spinal tap
no prophylactic spinal tap
Eligibility Criteria
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Inclusion Criteria
* surgery between 1990 and 2013
* Follow-up visit registered in medical charts \> 30 days postoperatively (at either local hospital, treating neurologist or at neurosurgical clinic)
Exclusion Criteria
18 Years
ALL
No
Sponsors
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Norwegian University of Science and Technology
OTHER
Karolinska University Hospital
OTHER
University Hospital of North Norway
OTHER
St. Olavs Hospital
OTHER
Responsible Party
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Principal Investigators
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Asgeir S Jakola, MD PhD
Role: STUDY_CHAIR
St. Olavs Hospital
Other Identifiers
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2013/883
Identifier Type: -
Identifier Source: org_study_id
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