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To compare medical versus surgical treatment for patients with hypertensive intracerebral bleed.

Not Applicable
Completed
Conditions
Health Condition 1: null- patients with spontaneous intracerebral bleed with GCS of 4-14
Registration Number
CTRI/2017/12/010750
Lead Sponsor
King Georges Medical University
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
30
Inclusion Criteria

1)Supratentorial spontaneous ICH

2)Age 18-60 years.

3)Volume of hematoma >30 cc

4)Motor response M5 or lower

5)Symptoms less than 72 hours prior to diagnostic CT scan (an unknown time of symptom onset is exclusionary)

6)Negative pregnancy test

7)GCS 4-14

Exclusion Criteria

1)Infratentorial hemorrhage or any involvement of the midbrain or lower brainstem

2)Volume of hematoma < 30 cc

3)Symptoms more than 72 hours prior to diagnostic CT scan

4)M6 motor response / GCS 3 or 15

5)Coagulation disorders

6)Any concurrent serious illness that would interfere with the safety of surgery.

7)Ruptured aneurysm, AVM, any other vascular anomaly or suspicion thereof.

8)Greater than 60 years (higher incidence of amyloid)

9)Under 18 years of age (high incidence of occult vascular malformation)

10)Pregnant (positive pregnancy test) or lactating females (likelihood of altered coagulation function associated with the high estrogen/progesterone state)

11)Patientâ??s attendants not giving consent for surgery or inclusion in the study.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
mortalityTimepoint: 3 months
Secondary Outcome Measures
NameTimeMethod
glasgo outcome scaleTimepoint: 3 months;modified Rankin ScaleTimepoint: 3 months
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