Intracerebral hemorrhage. Other disorders of the nervous system
Conditions
Interventions
Intervention 1: In the intervention group
large decompresive hemicraniectomy without hematoma evacuation and bone flap replacement in abdominal subcoutaneous tissue. Intervention 2: control
cranioto
Treatment - Surgery
In the intervention group
large decompresive hemicraniectomy without hematoma evacuation and bone flap replacement in abdominal subcoutaneous tissue
control
craniotomy and hematoma evacuation with bone flap cranioplasty
Sponsors
Ahvaz University of Medical Sciences
Eligibility
Sex/Gender
All
Age
20 Years to 80 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria: Supratentorial spontaneous cerebral hemorrhage patients with higher than cc50volume or a midline shift more of mm5; Hematoma with progressive neurological deficit and progressive loss of consciousness; Level of consciousness (GCS) more than 3/15; Cerebral hemorrhage patients with bleeding elapsed time of less than 24 hours; Patients aged 80-20 years ; ICH underlying cause is a cause other than cerebral aneurysm or vascular malformation of the brain has been detected. Exclusion criteria: Age below 20 years and above 80 years;Hematoma of inferatentorial ;Level of consciousness GCS 3/ 15;Patients with bleeding time greater than 24 hours previously;Patients who had cerebral edema during or after hematoma evacuation and We were forced to decompresive craniectomy and bone flap replacement in abdominal subcutaneous fat tissue.
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Consciousness level. Timepoint: first day of study.third day of study.Seventh Day of study.Third Month of study. Method of measurement: Observation.physical examination. | — |
Secondary
| Measure | Time frame |
|---|---|
| Tracheostomy. Timepoint: post operation. Method of measurement: observation.;Length of stay in intensive care unite. Timepoint: post operation. Method of measurement: obsevation. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactDr. Alireza Teimori
Ahvaz University of Medical Sciences
Outcome results
None listed