Surgical options offered for spontaneous brain hemorrhage.
- Conditions
- Health Condition 1: G939- Disorder of brain, unspecified
- Registration Number
- CTRI/2024/03/064429
- Lead Sponsor
- Kasturba Hospital, Manipal
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Yet Recruiting
- Sex
- Not specified
- Target Recruitment
- 0
Patients between 18 to 70 years. Informed consent for surgery is given by patient or their family. New onset SIH (72 hours of ictus). GCS 5 or more. Hematoma volume greater than 30 ml.
Patients or family not giving consent for surgery. Traumatic ICH . Pregnant patients . Age less than 18 years or greater than 70 years. Patients not on regular follow up. GCS on arrival E1M1V1 with absent brainstem reflexes. If prior or present history of an intracranial tumor, aneurysm or vascular pathology, or stroke and or status post chemotherapy or radiotherapy. Hematoma involving the posterior fossa or brainstem or midbrain. Those patients with SIH that didn’t warrant surgery as per the senior consultants decision. Those patients undergoing medical management. If CT scan at the time of presentation shows completely effaced basal cisterns, advanced herniation and midline shift greater than 1cm.
Study & Design
- Study Type
- Observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Primary outcomes are mRS modified Rankin Scale at 3 months follow up and Effective hematoma evacuation or residual hematoma volumeTimepoint: mRS will be evaluated at 3 months post discharge.
- Secondary Outcome Measures
Name Time Method Secondary outcomes are Complications rebleed, meningitis, postoperative new deficits. ICU stay in days. Hospital stay in days. Tracheostomy, if done. If on oral feeds at time of discharge. Late neurological deterioration & Perioperative mortalityTimepoint: mRS will be evaluated at 3 months post discharge.