Status:

UNKNOWN

Superior Cervical Sympathetic Block Versus Stellate Ganglion Block in Post-traumatic Subarachnoid Hemorrhage

Lead Sponsor:

Assiut University

Conditions:

Post-Traumatic Subarachnoid Hemorrhage

Eligibility:

All Genders

18-65 years

Phase:

NA

Brief Summary

Posttraumatic Subarachnoid hemorrhage (SAH) is a life-threatening neurological problem with a high mortality rate. Delayed cerebral ischemia (DCI) is the second-leading cause of death and disability i...

Detailed Description

Trauma patients with CT evidence of post-traumatic SAH will be enrolled in the study and randomly assigned into two groups (30 patients each): 1. Group A: Superior cervical ganglion block group (CSB)...

Eligibility Criteria

Inclusion

  • Trauma patient with radiological evidence of refractory SAH despite adequate pharmacological treatment; TCD velocity \> 120 cm/sec.
  • Trauma Patients with clinicoradiological evidence of cerebral vasospasm. The clinical criteria is new onset of neurological impairment such as hemiparesis, aphasia, hemianopia, or decrease of at least 2 points on the GCS not explained by appearance of new finding in follow up CT.
  • Age 18-65 will be included in the study
  • Both sex are included .

Exclusion

  • Refusal to consent participating research from patient or his guardian.
  • Patients with deterioration in the level of consciousness due to other causes such as rebleeding, infarct, hydrocephalus, cerebral edema, infection, electrolyte disorder, or seizure.
  • Trauma and local infection in the nerve block area.
  • Coagulopathy.

Key Trial Info

Start Date :

December 1 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

February 1 2025

Estimated Enrollment :

60 Patients enrolled

Trial Details

Trial ID

NCT06134583

Start Date

December 1 2023

End Date

February 1 2025

Last Update

November 18 2023

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