A Clinical Trial About the Safety of Surgical Treatment in Severe Primary Pontine Hemorrhage
NCT04647162 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 64
Last updated 2023-12-08
Summary
Primary pontine hemorrhage (PPH) is not common but is the most catastrophic subtype of intracerebral hemorrhage, with acute mortality between 30% and 60%. For severe PPH, defined as Glasgow Coma score (GCS) \<8 and hematoma volume≥5ml, the mortality rate is as high as 80-100%. Guidelines from the American Heart Association and European Stroke Organization do not make definite specifications. More than a century after Finkelnburg first explored the brainstem for hematoma, however, plenty of researches have shown surgery can save lives and improve the prognosis for selective patients and can be an effective and safe treatment. This study is proposed to validate the safety of surgical treatment in severe primary pontine hemorrhage.
Conditions
- Cerebrovascular Disorders
- Pontine Hemorrhage
- Primary
- Surgery
Interventions
- PROCEDURE
-
hematoma evacuation by craniotomy
The intervention method of hematoma evacuation is under craniotomy.
- PROCEDURE
-
hematoma evacuation by stereotactic puncture
The intervention method of hematoma evacuation is under stereotactic puncture.
- PROCEDURE
-
hematoma evacuation by neuroendoscopy
The intervention method of hematoma evacuation is under neuroendoscopy.
- OTHER
-
life support
The treatments in medical group includes life support, nutrition support, and rehabilitation therapy。
Sponsors & Collaborators
-
West China Hospital
lead OTHER
Principal Investigators
-
Chao You, MD · West China Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-01-01
- Primary Completion
- 2024-11-30
- Completion
- 2024-11-30
Countries
- China
Study Locations
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