Brain contusion. Focal brain injury
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion criteria: Documented closed head injury; Age between 18 and 75 years; Having brain contusions on initial brain CT scan; Taking the first dosage of medication within first 10 hours of trauma event; GCS:5-13 without influence of sedations upon admission; Obtaining written informed consent from legally authorized representative Exclusion criteria: Having a lesion on brain CT which urges a surgical evacuation at any time of hospital admission (Surgical EDH, SDH, ICH or midline shift>5mm and decompressive craniectomy); Spinal cord injury or spinal column instability with neurologic deficit; Penetrating brain injury; Any blood glucose under 50mg/dL or over 500mg/d; Severe renal disorder from past history or Cr>2.5 or patients on hemodialysis; Severe liver disease from past history or total bilirubin above 1.5 times of normal value; INR>1.6; Systolic BP below 90mmHg on admission without respond to fluid resuscitation; Pregnant women or a positive pregnancy test or those who intend to breastfeed during study days; Associated severe non-survivable injury; History of previous brain problems (Tumor, infections, strokes, …); Usage of warfarin, heparin, clopidogrel, LMWH within 72 hours prior to traumatic event
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Brain contusion volume. Timepoint: On admission, day 5 and 10 after intervention. Method of measurement: CT-volumetry of brain contusions.;Final outcome(GOS). Timepoint: 6months after intervention. Method of measurement: Glasgow Outcome Scale (GOS) which is from 1 to 5 ( 1=death, 2=vegetative state, 3=severe disability, 4=moderate disability, 5= good recovery). This is a standard scoring scale for stating final outcome in patients with traumatic brain injury.;Volume of pericontusional edema. Timepoint: On admission, day 5 and 10 after intervention. Method of measurement: CT-volumetry of pericontusional edema. | — |
Countries
Iran (Islamic Republic of)
Contacts
Shiraz University of Medical Sciences