9. Dreiländertagung Schweizerische Kopfwehgesellschaft SKG, DMKG, ÖKSG
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Beitragstitel Headache after surgical sealing of cerebrospinal fluid leaks in patients with spontaneous intracranial hypotension
Beitragscode P20
Autor:innen
  1. Adrian Scutelnic Inselspital - Universitätsspital Bern - Universitätsklinik für Neurologie Präsentierende:r
  2. Andreas Lüthi Inselspital - Universitätsspital Bern - Universitätsklinik für Neurologie
  3. Isabelle Stöckli Inselspital - Universitätsspital Bern - Universitätsklinik für Neurologie
  4. Lucie Justus Inselspital - Universitätsspital Bern - Universitätsklinik für Neurologie
  5. Bettina Bracher Inselspital - Universitätsspital Bern - Universitätsklinik für Neurologie
  6. Bettina Bracher Inselspital - Universitätsspital Bern - Universitätsklinik für Neurologie
  7. Antonia Klein Inselspital - Universitätsspital Bern - Universitätsklinik für Neurologie
  8. Nedelina Slavova Inselspital - Universitätsspital Bern - Universitätsklinik für Neurologie
  9. Eric Morel Centre Leenaards de la Memoire
  10. Franz Riederer Inselspital - Universitätsspital Bern
  11. Tomas Dobrocky Inselspital - Universitätsspital Bern
  12. Eike Piechowiak Inselspital - Universitätsspital Bern - Universitätsinstitut für Diagnostische und Interventionelle Neuroradiologie
  13. C. Marvin Jesse Inselspital Neurochirurgie
  14. Thomas Ulrich Lindenhof Spital
  15. Ralf Schär Inselspital Neurochirurgie
  16. Christoph Schankin Inselspital - Universitätsspital Bern
Präsentationsform Poster
Themengebiete
  • Abstract
Abstract-Text Introduction
Spontaneous intracranial hypotension (SIH) is a severe cause of headache. In one out of five patients the symptoms do not disappear spontaneously and surgical treatment is required. Our aim was to assess the characteristics of patients with persistent headache after surgical sealing for SIH.

Methods
This is a cross-sectional cohort study. We assessed details on primary headache, SIH-headache and postoperative headache (PH) using a structured questionnaire during a live interview in patients with SIH treated with surgical sealing of the cerebrospinal fluid (CSF) leak. Persistent headache was defined as headache on more than 15 days per month lasting longer than 3 months.

Results
Fifty-eight patients were included in the study. The mean age was 49y (+/-12) and 58% were women. Postoperatively, 38/58 (66%) patients reported headache and 13/58 (22%) had persistent headache. Patients with persistent headache underwent surgical CSF sealing after a longer time from SIH headache onset compared to those without persistent headache (520 days [IQR 218-1097] vs 103 [68-365], P=0.016). Details on phenotype, potential mechanism of persistent headache, pathophysiology of CSF leak, surgical techniques, and other details will be presented at the Conference.

Conclusion:
In our cohort, one fifth of patients suffered of persistent headache despite surgical sealing of the CSF leak.