subarachnoid hemorrhage
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) subarachnoid hemorrhage due to aneurysm rupture (Hunt and Kosnik grade 4 or 5) (2) aneurysm treated by surgical clipping within 72 hours after the onset (3) written informed consent from the patient or family member
Exclusion criteria
Exclusion criteria: (1) severe brain edema (2) heart dysfunction (New York Heart Association Class III or IV) (3) renal insufficiency (calculated creatinine clearance rate of less than 30 mL/min), Fisher grade 4 with massive intracerebral hematoma, and rejection of randomization.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| (1) Occurrence of delayed cerebral ischemia (2) Occurrence of cerebral vasospasm | — |
Secondary
| Measure | Time frame |
|---|---|
| (1) Modified Rankin scale score at 3, 6, and 12 months (2) Biochemical markers (malondialdehyde, neuron-specific enolase, S-100 calcium binding protein B, and C-reactive protein) | — |
Countries
Japan
Contacts
National Defense Medical College Department of Neurosurgery