Health Condition 1: G939- Disorder of brain, unspecified
Conditions
Interventions
Intervention1: nil: nil
Control Intervention1: nil: nil
Sponsors
Kasturba Hospital, Manipal
Eligibility
Inclusion criteria
Inclusion criteria: 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.
Exclusion criteria
Exclusion criteria: 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.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 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
| Measure | Time frame |
|---|---|
| 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. | — |
Countries
India
Contacts
Public ContactGeeta S
Department of Neurosurgery, KMC, Manipal, MAHE University
Outcome results
None listed