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Decompressive Craniectomy clinical trials

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NCT ID: NCT06391203 Not yet recruiting - Clinical trials for Traumatic Brain Injury

Study on the Efficacy of Long-term Drainage of Subdural Effusion After Decompressive Craniectomy

Start date: June 1, 2024
Phase: N/A
Study type: Interventional

Drilling or puncture drainage is commonly used in TBI patients with subdural effusion following decompressive craniectomy who fail to respond to conservative treatment, but there is no exact regulation or guideline recommendation for the drainage time. The investigators aimed to conduct a randomized controlled trial to evaluate the efficacy and safety of long-term versus short-term drainage in the treatment of subdural effusion after decompressive craniectomy in patients with traumatic brain injury.

NCT ID: NCT04682951 Completed - Brain Injuries Clinical Trials

Good Prognosis Factors After Decompressive Craniectomy : a Ten-year Retrospective Study

Start date: June 2008
Phase:
Study type: Observational

Decompressive craniectomy is a treatment of refractory intracranial hypertension after various etiologies : malignant ischemic stroke, traumatic brain injury, intraparenchymal hemorrhage, aneurysmal subarachnoid hemorrhage, cerebral venous thrombosis. Initially considered as a lifesaving therapy, benefits in terms of survival were shown compared to medical treatment alone. However, despite a better survival, morbidity and poor neurological outcome are frequent among survivors. The objective of the study is to identify initial good neurological outcome factors after decompressive craniectomy in a large series of patients, in order to argue surgical and intensive care decisions, considering expected benefit and quality of life.

NCT ID: NCT04261673 Recruiting - Craniotomy Clinical Trials

Prospective Randomized Evaluation of Decompressive Ipsilateral Craniectomy for Traumatic Acute Epidural Hematoma

PREDICT-AEDH
Start date: May 23, 2020
Phase: N/A
Study type: Interventional

Although craniotomy provides a more complete evacuation of the acute epidural hematoma, there are insufficient data to support specific surgical treatment method. We aim to perform a multi-center, parallel-group randomized clinical trial to compare the outcome and cost-effectiveness of decompressive craniectomy versus craniotomy for the treatment of traumatic brain injury patients with cerebral herniation undergoing evacuation of an acute epidural hematoma.

NCT ID: NCT04229966 Recruiting - Craniotomy Clinical Trials

Prospective, Observational Real-world Treatments of AEDH in Large-scale Surgical Cases

PORTALS-AEDH
Start date: November 2, 2020
Phase:
Study type: Observational [Patient Registry]

This is a multicenter, prospective, and observational real-world study aimed at investigating the current situation of surgical treatments and prognosis for acute epidural hematoma in China, and analyzing the optimization of therapy.

NCT ID: NCT01990014 Completed - Ischemic Stroke Clinical Trials

Craniectomy Protocol

Start date: June 2011
Phase:
Study type: Observational

The objective of this protocol is to evaluate the quality of life and functional disability in the long term (2 years after craniectomy) in subject's victims of malignant Sylvien stroke who received a decompressive craniotomy in the acute phase. Patients who have given their consent to be evaluated at least two years after their stroke and their operation in a single visit by clinical examination and procurement of standardized scales. Will be measured the quality of life through scale SIS3.0, residual disability by the Rankin scale. The quality of life of the carer will be assessed through scales and Zarit carer version of SIS3.0. The existence of predictive parameters of long-term evolution will be searched in determining the existence of a correlation between demographic data and baseline characteristics of the stroke on and the evolution of the quality of life.