Health Condition 1: G939- Disorder of brain, unspecified
Conditions
Interventions
Intervention1: Neuroendoscopic Hematoma Evacuation: The intervention involved neuroendoscopic hematoma evacuation, a minimally invasive surgical technique performed under general anesthesia. A small b
Sponsors
Dr Sahil Garg
Eligibility
Inclusion criteria
Inclusion criteria: Patients eligible for inclusion in the study were those diagnosed with spontaneous supratentorial intracerebral hemorrhage (ICH), confirmed through either computed tomography (CT) or magnetic resonance imaging (MRI) of the head. Inclusion criteria required a hematoma volume greater than 30 milliliters and the presence of a midline shift measuring 6 millimeters or more. Additionally, patients needed to have a Glasgow Coma Scale (GCS) score of 5 or higher to qualify. Both male and female patients between the ages of 18 and 75 years were considered for the study.
Exclusion criteria
Exclusion criteria: Patients were excluded from the study if the intracerebral hemorrhage (ICH) was secondary to underlying conditions such as tumors, aneurysms, post-infarction hemorrhage, or vascular malformations. Additional exclusion criteria included a history of trauma or head injury, the presence of coagulation disorders, or the occurrence of multiple intracranial hematomas. Major systemic comorbidities affecting life expectancy (e.g., heart, kidney, liver, lung diseases).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome of the study was the hematoma evacuation rate calculated using the formula preoperative hematoma volume postoperative volume / preoperative volume 100, based on CT imaging performed after surgery. This parameter was used to compare the surgical efficacy between the neuroendoscopy and open craniotomy groups.Timepoint: CT head were obtained on the post operative days 0 and 5 and at the time of discharge. Radiological data was compared with the preoperative scan | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary outcomes included postoperative Glasgow Coma Scale (GCS) at day 5 and at discharge, duration of ICU and hospital stay, incidence of rebleeding, residual hematoma, need for re-exploration surgery, postoperative complications (e.g., CSF leak, surgical site infection, meningitis, systemic infections), and mortality during hospital stay, along with functional outcome assessed at 3 months using the Extended Glasgow Outcome Scale (GOSE).Timepoint: three months | — |
Countries
India
Contacts
Public ContactAwdhesh Kumar Yadav
King Georges Medical University
Outcome results
None listed