Chronic subdural hematoma
Conditions
Interventions
controlled group:experiment group
experiment group:middle meningeal artery embolization combined with burr-hole drainage
Sponsors
Beijing Tiantan Hospital Affiliated to Capital Medical University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients aged >= 18 and <= 70 years; 2. Patients with CSDH confirmed by CT examination (i.e. hematoma with equal or low density, or hematoma with mixed density and acute component < 50%); 3. Patients with CSDH related symptoms need surgical treatment, including headache, cognitive impairment, ataxia, epilepsy, focal neurological deficit, or decreased consciousness; 4. The patients agreed to accept the protocol and signed the informed consent.
Exclusion criteria
Exclusion criteria: 1. Patients with previous CSDH operation history; 2. Patients with CSDH thickness less than or equal to 10 mm; 3. Patients with mixed hematoma density by CT examination, in which the acute component was more than or equal to 50%; 4. Patients with CSDH secondary to vascular disease, arachnoid cyst, intracranial tumor or after craniotomy, etc.; 5. CT examination showed that the hematoma was separated or stratified, which was not suitable for drilling and drainage; 6. Patients with severe diseases whose life expectancy is less than 1 year; 7. Patients with surgical contraindications, including poor general conditions, intolerance of surgery, severe coagulation disorders, etc.; 8. Patients taking glucocorticoid for a long time; 9. Subjects of pregnancy and lactation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| recurrence rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| resolution rate; | — |
Countries
China
Contacts
Public ContactQiu Hancheng
Beijing Tiantan Hospital Affiliated to Capital Medical University
Outcome results
None listed