Evaluation of One Burr Hole Evacuation for Subdural Hematoma

NCT ID: NCT06119932

Last Updated: 2023-11-07

Basic Information

• Recruitment Status: UNKNOWN
• Total Enrollment: 35 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2023-11-01
• Study Completion Date: 2024-10-01

Brief Summary

To evaluate the outcome of one burrhole evacuation for subdural hematoma and it has the same result of traditional two burrhole

Detailed Description

• Subdural hematoma (SDH): abnormal Collection of Liquefied blood degradation underneath the dura matter (1.2.3).
• one of the most frequent types of intracranial haemorrhage, That is still associated with significant morbidity (1.4.5).
• The SDH: is a common disease in elderly Patient, and Its Incidence is highest in persons older than 70 Years of age (1.5).
• Types of Subdural hematoma(18.19)

1- Acute: present within 48-72 hours of injury. 2. Sub-acute: manifest itself between 3-20 day. 3- Chronic (CH): produce symptoms from 3 weeks to several months after injury Risk Factors: (7.8.9.10.11.12)

1. Trauma; mostly minor Trauma, Approximately two thirds of The Patients have suffered one. Reports exist of chronic SDH due to birth trauma in neonates.

2. Advanced age: The elderly are at risk due to:

1. brain atrophy, whereby The bridging veins are stretched and become more fragile.

2. Older People tend to fall more often and Suffer minor head trauma.

3. With increase age, The incidence of blood Thinner administration raises leading to increased risk for haemorrhage

3. Chronic alcoholism:

4. Gender: men, from all age groups, suffer higher rates of chsDH than woman.

5. CoagulaPathy: Therapeutic anticoagulation and antiplatelet therapy.

6. Medical Conditions: sepsis, hepatic failure, hemophilia, DIC and renal dialysis.

7. Intracranial hypotension: as after ventriculoperitoneal shunt. clinical presentation (1.13)

• Symptoms of increase intra cranial pressure: Headache, Nausea, vomiting.
• Focal neurological deficit - (weakness, aphasia).
• Disturbed conscious level (DCL)
• Seizures
• Imaging investigation:

CT brain (14.15)

• Management : (1.6.16.17)

1. Conservative: A watch, wait and re-scan Policy is usually recommended in asymptomatic or minimally symptomatic patient with a thin CHSDH.

2. Surgical: For symptomatic (SDH) a- burr hole drainage B-twist drill drainage c- craniotomy

• prognostic factors : (2.5) 1- age of patient 2- Associated chronic diseases like hypertension, liver diseases …….Etc 3- Laboratory investigation like Hb , platlate count ,pc,and PT. 5- Hematoma thickness 6- number of burr hole : one or two burr hole

Conditions

Subdural Hematoma

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: PROSPECTIVE

Interventions

Evacuation for subdural hematoma by one burrhole

Evacuation for subdural hematoma by one burrhole

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• Patients with subdural hematoma either unilateral or bilateral
• fit for surgery
• Chronic SDH
• Subacute SDH
• Age: patients older than 18 years old
• SEX: Both sex

Exclusion Criteria

• Patients unfit for surgery
• Acute SDH
• subdural hyroma
• subdural empyema
• patient treated conservatively

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Assiut University

OTHER

Sponsor Role: lead

Responsible Party

Mohammed lotfi abdelkareem

Neurosurgical resident

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Shady Hassaan

Role: STUDY_DIRECTOR

Lecturer of Neurosurgery

Locations

Mohammed lotfi abdelkareem

Minya, Malawi, Egypt

Mohammed lotfi abdelkareem

Asyut, , Egypt

Countries

Egypt

Central Contacts

Mohammed Lotfi, Resident

Role: CONTACT

Mohammedlotfi029@gmail.com

01147341661

Ahmed Abo kresha, Professor

Role: CONTACT

+201006814906

Facility Contacts

Mohammed Lotfi a, Reseddnt

Role: primary

Mohammed Lotfi

Role: primary

Other Identifiers

Subdural hematoma

Identifier Type: -

Identifier Source: org_study_id