Health Condition 1: S061- Traumatic cerebral edema
Conditions
Interventions
Intervention1: Hinge craniotomy: After doing a large craniotomy (diameter greater than 12 cm), the bone flap will be split into multiple pieces (three, usually), and the pieces will then be joined tog
Sponsors
National Institute of Mental Health and Neurosciences (NIMHANS)
National Institute for Health and Care Research
Eligibility
Inclusion criteria
Inclusion criteria: Closed head injury patients in whom brain swelling is indicative of raised intracranial pressure that is no longer controlled by medical management
Exclusion criteria
Exclusion criteria: Unsurvivable injury Comoborbidities that prevent surgical treatment Previous history of decompressive craniectomy (DC) or cranioplasty where further DC or hinge craniotomy cannot be done.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Extended Glasgow Outcome Scale (GOSE)Timepoint: 12 months from injury | — |
Secondary
| Measure | Time frame |
|---|---|
| Reduction in intracranial pressureTimepoint: 24 hours after the intervention (surgery) [if an ICP monitoring was done];Extended Glasgow Outcome Scale (GOSE)Timepoint: One, three, and six months;Wound complicationsTimepoint: 14 days of intervention;Postoperative hydrocephalusTimepoint: 12 months after injury;Timing of cranioplasty (in the DC group)Timepoint: 12 months after injury;Method of storage of the bone flap in the DC groupTimepoint: 12 months of injury;Duration of hospitalisationTimepoint: 12 months of injury | — |
Countries
Brazil, India, Pakistan
Contacts
Public ContactDhaval Shukla
National Institute of Mental Health and Neurosciences (NIMHANS)
Outcome results
None listed