Actively Recruiting

Phase Not Applicable
All Genders
ID05205174

Depth Electrode Detection of Cortical Spreading Depolarization After Traumatic Brain Injury

Led by University of Minnesota · Updated on 2026-02-23

15

Participants Needed

1

Research Sites

104 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the use of depth electrodes combined with new algorithms to detect cortical spreading depolarizations (CSDs) in patients who have suffered traumatic brain injury (TBI) requiring neurosurgical intervention. This study aims to understand how these brain signals relate to injury seen on imaging and could help improve diagnosis and treatment of secondary brain injury after TBI. During the standard surgical procedure to place an External Ventricular Drain (EVD), a depth electrode will be inserted near the EVD catheter to record electrocorticogram (ECoG) activity. These recordings will be continuously monitored during the patient's stay in the Intensive Care Unit (ICU) for up to about 14 days. The study will enroll 15 patients and use the collected data to develop a novel algorithm to detect CSDs. Participants will undergo the usual EVD placement surgery with the addition of the depth electrode. Their brain activity and physiological parameters will be recorded continuously during their clinical monitoring period. A neurosurgeon will review the ECoG data alongside imaging findings. The main outcome is to detect CSDs over a two-year period. The study is expected to take over 210 days to complete for all participants.

CONDITIONS

Brief Title

Depth Electrode Detection of Cortical Spreading Depolarization After Traumatic Brain Injury

Who Can Participate

All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patient recommended to undergo EVD placement for the monitoring and possible treatment of Intracranial pressure (ICP) after TBI
Not Eligible

You will not qualify if you...

  • Contaminated scalp lacerations
  • Known systemic infection
  • Non-English speaking
  • Fixed, uncorrectable coagulopathy

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Implementation

Duration - Approximately 14 days

Participants undergo neurosurgical intervention where a depth electrode is placed adjacent to the external ventricular drain during standard care for traumatic brain injury.

Continuous monitoring during clinically indicated neuromonitoring in the ICU

Trial Site Locations

Total: 1 location

1

Hennepin County Medical Center

Minneapolis, Minnesota, United States, 55415

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Research Team

D

David Darrow, MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

OTHER

Number of Arms

1

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