Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Hinge craniotomy: The craniotomy skull flap will be cut into three or more parts and will be joined together loosely with either sutures or metal plates and then kept back loosely on th
Sponsors
National Institute of Mental Health and Neurosciences (NIMHANS)
Eligibility
Inclusion criteria
Inclusion criteria: A patient with space occupying arterial or venous infarct in whom the neurosurgeon has recommended cranial decompression
Exclusion criteria
Exclusion criteria: Unknown patient Patient with polytrauma patient with spinal cord injury Patient requiring decompression following failed thrombectomy for stroke Unsurvivable injury Cardiac arrest Severe medical or surgical comorbidities that would affect the outcomes of the patient independantly
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Extended Glasgow Outcome ScaleTimepoint: 12 months from randomisation | — |
Secondary
| Measure | Time frame |
|---|---|
| Control of intracranial pressureTimepoint: 24 hours after surgery;Economic evaluationTimepoint: 12 months;Further cranial surgery after randomisationTimepoint: Within two weeks;Glasgow coma scale at dischargeTimepoint: Usually 14 days after surgery (7-30 days);Serious adverse effects and surgical complications during current admission.Timepoint: Usually 7- 30 days;Subsequent re-admission to the neurosurgical unit for cranioplastyTimepoint: Within 12 months of surgery | — |
Countries
Brazil, India, United Kingdom
Contacts
Public ContactDhaval Shukla
NIMHANS, Bengaluru
Outcome results
None listed