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NCT07360756

Ultrasonographic ONSD as a Predictor of PDPH in Spinal Anesthesia for Cesarean Delivery

Not yet recruiting Last updated 22 January 2026
What this trial tests

trial testing Study Cohort (Single Cohort) in Cesarean Section Complications in 150 participants. Not yet recruiting.

Timeline
28 January 2026
Primary endpoint
30 November 2026
30 December 2026

Quick facts

Lead sponsorAl-Azhar University
StatusNot yet recruiting
Study typeOBSERVATIONAL
Enrollment150
Start date28 January 2026
Primary completion30 November 2026
Estimated completion30 December 2026
Sites1 location across Egypt

Drugs / interventions tested

Conditions studied

Sponsor

Al-Azhar University

Who can join

Adults 18 to 45, female only, with Cesarean Section Complications. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

The Optic Nerve Sheath Diameter (ONSD), measured non-invasively by bedside ultrasound, is a well-established surrogate for intracranial pressure (ICP), as the optic nerve sheath is continuous with the intracranial dura mater and its subarachnoid space is filled with cerebrospinal fluid (CSF). While ONSD is typically used to detect elevated ICP (with a cut-off often \> 5.0-5.7 mm for ICP \> 20 mmHg), studies investigating PDPH have paradoxically shown a reduction in ONSD post-spinal anesthesia, correlating with the state of intracranial hypotension. Previous research has demonstrated that a lower ONSD or a significant decrease in ONSD values 24 hours post-puncture is associated with PDPH development. A study determined that an ONSD at 24 hours of less than 0.40 cm was the best predictor for PDPH. Our study aims to specifically investigate the utility of the immediate change in ONSD to offer a bedside, real-time assessment of risk.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Other recruiting trials for Cesarean Section Complications

Currently open trials in the same condition.

Other Al-Azhar University trials

Trials by the same sponsor.

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Data sources for this page

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