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

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ClinicalTrials.gov Identifier: NCT03768778
Recruitment Status : Completed
First Posted : December 7, 2018
Last Update Posted : December 10, 2018
Sponsor:
Information provided by (Responsible Party):
ahmed salaheldin mohammed saro, Sohag University

Brief Summary:
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.

Condition or disease Intervention/treatment Phase
Head Injuries With Non Missile Penetrating Objjects Procedure: Debridement and dural repair Not Applicable

Detailed Description:

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.


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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 18 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Non-Missile Penetrating Brain Injuries, Cases Registry in Sohag University Hospital
Actual Study Start Date : November 1, 2012
Actual Primary Completion Date : October 1, 2014
Actual Study Completion Date : October 1, 2014

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Debridement Procedure: Debridement and dural repair
Other Name: Removal of foreign bodies with dural and vascular repair




Primary Outcome Measures :
  1. (Glasgow Coma Scale)(GCS) to evaluate non-Missile Penetrating Brain Injuries [ Time Frame: 2 years ]
    Descriptive scale grades from (3 to 15). 3 is worst and 15 is the best



Information from the National Library of Medicine

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Ages Eligible for Study:   4 Years to 39 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Any patient with penetrating head trauma

Exclusion Criteria:

  • missile penetrating head injuries

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Responsible Party: ahmed salaheldin mohammed saro, Assistant professor of neurosurgery, Sohag University
ClinicalTrials.gov Identifier: NCT03768778     History of Changes
Other Study ID Numbers: Sohag1
First Posted: December 7, 2018    Key Record Dates
Last Update Posted: December 10, 2018
Last Verified: December 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by ahmed salaheldin mohammed saro, Sohag University:
Penetrating brain trauma (PBT),Traumatic brain injury (TBI), Intensive care unit, non missile.

Additional relevant MeSH terms:
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Craniocerebral Trauma
Wounds and Injuries
Nervous System Diseases
Trauma, Nervous System