Pituitary Function and Spontaneous Intracranial Hypotension

NCT02603549 — Suspended, 100 participants, Cedars-Sinai Medical Center

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Spontaneous Spinal Cerebrospinal Fluid Leaks and Intracranial Hypotension

RegistryNCT02603549
StatusSuspended - Study protocol needs to be amended. Recruitment is halted until amendment is completed and approved by IRB.
Study typeObservational
Enrollment100 (Estimated)
SponsorCedars-Sinai Medical Center (Other)
ConditionsHyperprolactinemia, Spontaneous Intracranial Hypotension
InterventionsPituitary panel will be drawn pre-op and post-op for all patients. (Other)
Datesstart 2015-07-01, primary completion 2020-12-01 (estimated), completion 2020-12-01 (estimated), first posted 2015-11-13, last updated 2019-01-31
Locations1 site in United States

Related Papers Related Patents Related Grants Related Experts
All trials for Hyperprolactinemia All trials for Spontaneous Intracranial Hypotension All trials of Pituitary panel will be drawn pre-op and post-op for all patients.

-Summary

Previous research has identified spontaneous cerebral spinal fluid leakage as a cause for spontaneous intracranial hypotension, leading to positional headache patterns. Typical magnetic resonance imaging findings include subdural fluid collections, enhancement of pachymenginges, engorgement of venous structures, pituitary hyperemia, and sagging of the brain (SEEPS). Because pituitary hyperemia has been documented in cases of spontaneous cerebral spinal fluid leakage and is known to mimic a pituitary tumor or hyperplasia, the investigators would like to like to assess the clinical manifestations and neuroimaging abnormalities of SIH patients with regard to the pituitary gland. Specifically, the investigators are looking to analyze the compression of the pituitary stalk and conduct a systemic evaluation of pituitary function in SIH patients.

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+Arms and interventions

ArmTypeInterventionsDescription
Surgery or Blood PatchOther: Pituitary panel will be drawn pre-op and post-op for all patients.
  • Pituitary panel will be drawn pre-op and post-op for all patients. (Other)

+Outcome measures

Primary outcomes

  • Comparing the levels of prolactin pre and post treatment [90 days]

+Eligibility

Sex: All, ages: 18 Years to any

Inclusion Criteria:

* Male or female patients
* Age 18 years and older
* Diagnosis of SIH:
* LP
* Brain MRI (SEEPS)

Exclusion Criteria:

* Pregnant and post-partum females
* Nursing mothers
* Patients with potential hyperprolactinemia due to:
* Hypothyroidism,
* Chronic renal disorder
* Liver disease (including cirrhosis)
* Primary or secondary amenorrhea
* Polycystic Ovary Syndrome
* Seizure disorder
* Illicit drug use

+Locations (1)

FacilityCityCountryStatus
Cedars-Sinai Medical CenterLos Angeles, CaliforniaUnited States

+Publications

  • Schievink WI. Spontaneous spinal cerebrospinal fluid leaks and intracranial hypotension. JAMA. 2006 May 17;295(19):2286-96. doi: 10.1001/jama.295.19.2286. PMID 16705110
  • SCHALTENBRAND G. Normal and pathological physiology of the cerebrospinal fluid circulation. Lancet. 1953 Apr 25;1(6765):805-8. doi: 10.1016/s0140-6736(53)91948-5. No abstract available. PMID 13036182
  • Mokri B. Cerebrospinal fluid volume depletion and its emerging clinical/imaging syndromes. Neurosurg Focus. 2000 Jul 15;9(1):e6. doi: 10.3171/foc.2000.9.1.6. PMID 16859267

+Investigators