Surgical Evacuation Of Spontaneous Intracerebral Hematoma: Clinical Outcomes and Prognostic Factors
Led by Sohag University · Updated on 2025-02-11
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4 weeks
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What this Trial Is About
This research investigates surgical removal of spontaneous intracerebral hemorrhage (ICH), a severe stroke type caused by bleeding into the brain tissue. ICH can cause brain injury from pressure effects and secondary cellular damage, with risks linked to high blood pressure and amyloid buildup in brain vessels. The study aims to assess the safety and effectiveness of surgery to remove the blood clot and prevent further brain injury, especially focusing on early intervention and modern minimally invasive techniques.
Participants receive surgical evacuation of the intracerebral hematoma through craniotomy or minimally invasive methods. The surgery is intended to relieve pressure on brain tissue and reduce damage from blood products. Although surgery carries risks such as bleeding and infection, this trial evaluates outcomes after surgical removal of the hematoma, including clinical results and factors affecting prognosis.
During the study, participants are monitored for morbidity and mortality at one and three months after surgery. Researchers assess clinical outcomes and complications, tracking recovery progress and survival rates. The total participation spans from surgery through follow-up visits to evaluate short- and medium-term effects of the surgical treatment on brain hemorrhage patients.
CONDITIONS
Brief Title
Surgical Evacuation Of Spontaneous Intracerebral Hematoma: Clinical Outcomes and Prognostic Factors
Who Can Participate
Age: 20Years - 70Years
All Genders
Eligibility Criteria
You may qualify if you...
Patients with radiological findings of spontaneous intracerebral hemorrhage
Age between 20 and 70 years
You will not qualify if you...
Traumatic intracerebral hemorrhage, ruptured aneurysm, arteriovenous malformation, or brain tumor
Intracerebral hemorrhage after cranial surgery
Secondary hydrocephalus
Liver cell failure or renal cell failure
Bleeding disorders
Regular use of anticoagulant or antiplatelet therapy
Small intracerebral hemorrhage size less than 30 ml
Glasgow Coma Scale less than 6 before surgery
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Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Surgery and Immediate Post-operative Care
Duration - Up to several days post-surgery
Participants undergo surgical evacuation of intracerebral hemorrhage followed by immediate post-operative care to manage and monitor recovery.
1 surgery and immediate hospital stay
Post-operative Follow-up
Duration - 3 months
Participants are monitored for morbidity and mortality outcomes after surgical evacuation of intracerebral hematoma.
Follow-up visits at 1 month and 3 months post-surgery
Incidence, case fatality, and functional outcome of intracerebral haemorrhage over time, according to age, sex, and ethnic origin: a systematic review and meta-analysis.
Charlotte Jj van Asch, Merel Ja Luitse, Gabriël Je Rinkel...