Spontaneous supratentorial intracerebral hemorrhage intracerebral hemorrhage endoscopic surgery outcome
Conditions
Interventions
Endoscopic clot removal for treatment of intracerebral hemorrhage ,Conventional treament consists of medical treament and surgery if indicated (uncontrolled increased intracranial pressure,
clot expansion)
Active Comparator Procedure/Surgery,Active Comparator Procedure/Surgery
Endoscopic surgery,Conventional treament
Sponsors
none
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. newly diagnosed spontaneous intracerebral hemorrhage in supratentorial area 2. hematoma volume > 30 ml 3. Glasgow coma score 5-14 or NIHSS > 6 4. able to start treatment within 24 hours after the onset 5. SBP < 200 mmHg or MAP < 130 mHG more than 6 hours before treatment 6. Modified Rankin Scale 0-1 before the onset
Exclusion criteria
Exclusion criteria: 1. intracerenral hemorrhage associated with ruptured cerebral aneurysms, vascular malformations, Moyamoya disease, venous sinus thrombosis, tumor, trauma, hemorrhagic transforamtion of cerebral infarction or recurrent hemorrhage within 1 year 2. Bilateral fixed dilated pupils or extensor motor posturing 3. Presence of intraventricular hemorrhage >50% in lateral ventricle or obtructive hydrocephalus 4. infratentorial hemorrhage 5. coagulopathy 6. active bleeding in gastrointestinal, retroperitoneal, or respiratory tract 7. Platelet count < 100,000 or internaltional normalized ratio > 1.3 8. End stage renal or liver disease or other disease contraindicated for surgery 9. pregnancy 10. Unidentified subjects or lack of care-givers
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Neurologic disability Posttreatment 6 month Modified Rankin Scale | — |
Secondary
| Measure | Time frame |
|---|---|
| Neurologic disability Posttreatment 1 and 3 month Modified Rankin Scale,Mortality Posttreatment Mortality rate,Hematoma removal volume Posttreatment Clot reduction volume,Complications Posttreatment Complication event rate,Rebleeding Posttreatment rebleeding rate,Hospital stay from admission to dischage length of hospital stay (day) | — |
Countries
Thailand
Contacts
Public ContactRaywat Noiphithak
Department of Surgery, Faculty of Medicine, Thammasat University
Outcome results
None listed