Health Condition 1: null- patients with spontaneous intracerebral bleed with GCS of 4-14
Conditions
Interventions
Intervention1: medicosurgical: In 2nd treatment arm, patients given both standard medical and surgical treatment for evacuation of hematoma.
Control Intervention1: medical arm: In this patients random
Sponsors
King Georges Medical University
Eligibility
Inclusion criteria
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
Exclusion criteria: 1)Infratentorial hemorrhage or any involvement of the midbrain or lower brainstem 2)Volume of hematoma 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.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| mortalityTimepoint: 3 months | — |
Secondary
| Measure | Time frame |
|---|---|
| glasgo outcome scaleTimepoint: 3 months;modified Rankin ScaleTimepoint: 3 months | — |
Countries
India
Contacts
Public ContactMachchhindranath Vijay Nilange
king georges medical university
Outcome results
None listed