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Non-missile Penetrating Head Trauma,Cases Registry in Sohag University Hospital

NCT ID: NCT03768778

Last Updated: 2018-12-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

18 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-11-01

Study Completion Date

2014-10-01

Brief Summary

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A retrospective study was done in Neurosurgery trauma unit, Sohag University. Eighteen patients reported with different mechanisms of trauma. All patients clinically tested involving neurological evaluation. Computed tomography brain was done for them at the time of admission. Cautious removal of the penetrating object with local debridement of surrounding tissues including skin, skull, dura and brain tissue and watertight closure of the dura should be done. Patients transferred to the Intensive care unit (ICU) for 48 - 72 hours.

Detailed Description

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Traumatic intracranial penetration of foreign non-missile object rarely occurs. Early mortality may be caused by hemorrhages, major vascular injury or contusions; while epileptic seizures and infections are among the possible complications in later stages. Complete excision of the foreign object should be done for all patients and any dural and/or vascular injuries should be repaired during surgical treatment.

Neurological level, hemodynamic and respiratory status at hospital admission, type of penetrating the object, pupil size, and reactivity, as the CT findings, all these factors will affect the prognosis so they should be evaluated carefully before the decision of the line of management. Intracranial infection, CSF leak and recurrent attacks of convulsions are the most common complications.

Our goal in this study to report cases with non-missile penetrating head injuries and evaluate the possible predictive factors in a series of 18 patients sustaining penetrating head injuries, admitted to our hospital over a period of 2 years, to be used as a guide for the surgical management.

Conditions

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Head Injuries With Non Missile Penetrating Objjects

Keywords

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Penetrating brain trauma (PBT),Traumatic brain injury (TBI), Intensive care unit, non missile.

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Debridement

Group Type OTHER

Debridement and dural repair

Intervention Type PROCEDURE

Interventions

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Debridement and dural repair

Intervention Type PROCEDURE

Other Intervention Names

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Removal of foreign bodies with dural and vascular repair

Eligibility Criteria

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Inclusion Criteria

* Any patient with penetrating head trauma

Exclusion Criteria

* missile penetrating head injuries
Minimum Eligible Age

4 Years

Maximum Eligible Age

39 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Sohag University

OTHER

Sponsor Role lead

Responsible Party

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ahmed salaheldin mohammed saro

Assistant professor of neurosurgery

Responsibility Role PRINCIPAL_INVESTIGATOR

Other Identifiers

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Sohag1

Identifier Type: -

Identifier Source: org_study_id