Cerebral Venous Thrombosis
Conditions
Keywords
Cerebral Oximetry, Cerebral Venous Thrombosis, Decompressive Craniectomy
Brief summary
Cerebral hypoperfusion and hypoxia are the major determinants of neurological outcomes following acute brain injury as proved in Traumatic Brain Injury/Sub Arachnoid Haemhorrhage literature. How the brain injury affects cerebral oxygenation in patients with CVT is not currently known. Some of the factors that can affect cerebral oxygenation in patients with CVT are Hemoglobin, PO2, PCO2, Cerebral Perfusion Pressure (or MAP) and change in Intracranial Pressure after Decompressive Craniectomy. This study is designed to study how these factors affect cerebral oxygenation and impact of Decompressive Craniectomy on the cerebral oxygenation.
Interventions
Cerebral Oximetric measurement before and after decompressive craniectomy
Sponsors
Study design
Eligibility
Inclusion criteria
-Patients diagnosed with cerebral venous thrombosis, undergoing decompressive craniectomy.
Exclusion criteria
* Patients on inotropic support * Systolic blood pressure \< 90 mmHg * Haemoglobin oxygen saturation \<95% * Refusal of consent * Age \<16 and \> 65 years * Known history of diabetes or hypertension * Pregnancy * Any contraindication for application of cerebral oximetry sensors
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Ipsilateral Regional Cerebral Oxygen Saturation | From Recruitment till 48 hours postoperative (end of study) | Measurement of regional cerebral oxygen saturation over ipsilateral frontal lobe before and after decompressive craniectomy with follow up at postoperative 24 and 48 hours. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Contralateral Regional Cerebral Oxygen Saturation | From Recruitment till 48 hours postoperative (end of study) | Measurement of regional cerebral oxygen saturation over contralateral frontal lobe before and after decompressive craniectomy with follow up at postoperative 24 and 48 hours. |
| Systolic Blood Pressure | From Recruitment till 48 hours postoperative (end of study) | Measurement of systolic blood pressure before and after decompressive craniectomy with follow up at postoperative 24 and 48 hours. |
| Glasgow coma scale score | From Recruitment till 48 hours postoperative (end of study) | Measurement of Glasgow coma scale score before and after decompressive craniectomy with follow up at postoperative 24 and 48 hours. |
| Arterial blood gas measurement | From Recruitment till 48 hours postoperative (end of study) | Arterial blood gas measurement before and after decompressive craniectomy with follow up at postoperative 24 and 48 hours. |
| Haemoglobin | From Recruitment till 48 hours postoperative (end of study) | Haemoglobin measurement before and after decompressive craniectomy with follow up at postoperative 24 and 48 hours. |
Countries
India