About this trial
The goal of this observational study is to quantify the real-world effect of minimally invasive surgery (MIS) in patients with acute spontaneous supratentorial intracerebral hemorrhage.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Head CT demonstrating an acute, spontaneous, intracerebral hemorrhage
Hemorrhage volume ≥ 20 mLs
Minimally invasive surgical intervention performed within 7 days of hemorrhage
Disqualifiers
Ruptured aneurysm, arteriovenous malformation (AVM), vascular anomaly, moyamoya disease, venous sinus thrombosis, mass or tumor, hemorrhagic conversion of an ischemic infarct, recurrence of a recent ICH (<1 year), as diagnosed with radiographic imaging
Infratentorial intraparenchymal hemorrhage, including midbrain, pontine, or cerebellum
Initial hospital arrival ≥ 24 hours after the onset of stroke symptoms
Last known normal is unknown
Trial population
Subjects with acute, spontaneous supratentorial intracerebral hemorrhage.
Trial design
Case-control
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Modified Rankin Scale (mRS) at 180 Days
Functional outcome will be assessed using the modified Rankin Scale (mRS), a 7-level ordinal scale ranging from 0 (no symptoms) to 6 (death). The primary endpoint evaluates real-world functional recovery following minimally invasive surgery (MIS) for acute supratentorial ICH. Structured interview performed in person or via telephone by trained study personnel; audio-recorded and centrally adjudicated.
30-Day Mortality
All-cause mortality within 30 days of the initial hemorrhage.
Other outcomes
modified Rankin Scale (mRS) at Additional Time Points
The endpoint evaluates real-world functional recovery following minimally invasive surgery (MIS) for acute supratentorial ICH. Collected over phone or in-person via structured interview.
Post-Operative Infection or CSF Leak
Incidence of surgical site infection or cerebrospinal fluid leak.
Quality of Life (EQ-5D-5L)
The EQ-5D-5L assesses health status across five dimensions: * Mobility * Self-care * Usual activities * Pain/discomfort * Anxiety/depression Each dimension has five levels (no problems, slight problems, moderate problems, severe problems, extreme problems), allowing patients to describe their health using a five-digit health state (e.g., 11223). Patients also complete a Visual Analogue Scale (VAS) rating their overall health from 0 (worst imaginable) to 100 (best imaginable)
Follow-Up Neuroimaging (24-Hour)
Assessment of hematoma evacuation effectiveness and residual volume.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Emory University
Lead sponsor
The Marcus Foundation
Collaborator