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https://www.readbyqxmd.com/read/25738794/early-surgery-versus-initial-conservative-treatment-in-patients-with-traumatic-intracerebral-hemorrhage-stitch-trauma-the-first-randomized-trial
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RANDOMIZED CONTROLLED TRIAL
A David Mendelow, Barbara A Gregson, Elise N Rowan, Richard Francis, Elaine McColl, Paul McNamee, Iain R Chambers, Andreas Unterberg, Dwayne Boyers, Patrick M Mitchell
Intraparenchymal hemorrhages occur in a proportion of severe traumatic brain injury TBI patients, but the role of surgery in their treatment is unclear. This international multi-center, patient-randomized, parallel-group trial compared early surgery (hematoma evacuation within 12 h of randomization) with initial conservative treatment (subsequent evacuation allowed if deemed necessary). Patients were randomized using an independent randomization service within 48 h of TBI. Patients were eligible if they had no more than two intraparenchymal hemorrhages of 10 mL or more and did not have an extradural or subdural hematoma that required surgery...
September 1, 2015: Journal of Neurotrauma
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