chronic subdural hematoma MedDRA version: 18.0 Level: LLT Classification code 10049163 Term: Chronic subdural hematoma System Organ Class: 100000004863
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: -Age = 18 years old -With chronic or subacute, uni- or bilateral subdural hematoma -Confirmed by cerebral CT scan without contrast enhancement -Without clinical and radiological signs of severity -Written informed consent from patients or thier next of kin Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: -Contraindication for methylprednisolone -Previous surgery for chronic subdural hematoma during the past 6 months -Pre-existing severe dementia -Existing neurological pathology that can be associated with dementia -Patients treated with corticosteroids -Adults legally protected (under judicial protection, guardianship or supervision), persons deprived of their liberty
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: show that a treatment with methylprednisolone can decrease the need for surgical treatment in patients with chronic subdural hematoma without clinical or radiological signs of severity; Secondary Objective: assess the effect of methylprednisolone on : -quality of life evolution -morbidity and mortality -radiological evolution of the lesions ;Primary end point(s): rate of surgical treatment of the chronic subdural hematoma;Timepoint(s) of evaluation of this end point: at one month | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): -Quality of life assessed by the SF 12 scale -Time to surgical treatment -Functional scales : daily living, cognitive and modified Rankin Scale -Plasma sodium, potassium and fasting glucose -Occurrence of adverse events potentially related to methylprednisolone -Survival -Radiological improvement defined by reduction of maximal thickness of hematoma and reduction of midline shift evaluated ; Timepoint(s) of evaluation of this end point: -Quality of life assessed by the SF 12 scale at 1, 3 and 6 months -Time to surgical treatment at 6 months -Functional scales at 1, 3 and 6 months -Plasma sodium, potassium and fasting glucose at day 0, 7, 14, and 21 and at 1 month -Occurrence of adverse events potentially related to methylprednisolone at 6 months -Survival at 6 months -Radiological improvement at 1, 3 and 6 months | — |
Countries
France
Contacts
CHU of Rennes