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NCT07614399Recruiting

Conservative vs Interventional Management of Postsurgical CSF Pseudomeningocele

Conservative Versus Interventional Management of Postsurgical CSF Pseudomeningocele: A Randomized Controlled Trial

Source: ClinicalTrials.gov · Last updated 29 May 2026

Brief summary (registry, in English)

Dear Sir or Madam, You have been invited to participate in a clinical study whose aim is to compare the effectiveness of two different approaches to the treatment of cerebrospinal fluid (CSF) pseudomeningocele - conservative management and interventional treatment (surgical or drainage procedures). CSF pseudomeningocele is a complication that may occur after brain surgery and is characterized by an accumulation of cerebrospinal fluid beneath the skin. At present, there is no clear consensus regarding the optimal treatment approach. How the study will be conducted After enrollment in the study, you will be randomly assigned (by chance) to one of two groups: Conservative management: no surgical intervention, regular follow-up, and wound care. Interventional treatment: simple aspiration/puncture, insertion of a lumbar drain, or reoperation. During the study, you will be followed for a period of 1 year. Follow-up examinations will include clinical assessment and brain imaging (CT or MRI) at 4 months and 12 months after enrollment. Risks associated with the interventional group Simple cyst aspiration/puncture: infection, bleeding into the pseudomeningocele. Lumbar drainage: infection, meningitis, bleeding at the insertion site, cerebrospinal fluid leakage, nerve root irritation, headaches. Reoperation: bleeding, infection, complications related to general anesthesia. Expected duration of participation in the study 12 months Expected total number of participants enrolled in the study 20 participants Benefit of the study The aim of the study is to compare the effect of surgical intervention with conservative management. Compensation for participation Participation in this study is not associated with any financial compensation.

Status (registry)
Recruiting
Study type
Interventional
Enrollment
60 (estimated)
First submitted
15 May 2026
Start date
1 Nov 2025
Primary completion date
1 Nov 2029
Lead sponsor
Charles University, Czech Republic
NCT number
NCT07614399

What you commit to

  • Study type: Interventional
  • Planned participants: 60
  • From 1 Nov 2025 to the primary completion date, 1 Nov 2029
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • PMC following emergency or trauma surgery

Other illness

  • Known or suspected infection at the PMC site at recruitment
  • Severe comorbidities preventing participation (e.g. terminal illness, organ failure)
  • Conditions requiring urgent unrelated surgical intervention

Who the study is looking for

  • Pseudomeningocele after elective intracranial surgery
  • Willing and able to give informed consent
  • No prior cranial or spinal surgical intervention
  • Pseudomeningocele Palpation Scale (PPS) II-IV, no severe pain of the PMC (VAS 7-10) - Tension MK

Age in the registry: 18 years to 80 years · Sex: All · Accepts healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Military University Hospital Prague
Coordinator of this site? Confirm its status
PragueCzechiaRecruiting

This page is information, not medical advice. Discuss any trial with your doctor.