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Recently, a clinical trial showed that the use of lumbar drains compared to ventricular drain in patients suffering from subarachnoid hemorrhage resulted in less delayed ischemic neurological deficits but failed to show a clinical benefit after 6 months. The underlying assumption was, that the cerebrospinal fluid (CSF) obtained from lumbar drains has a higher concentration of blood than CSF from lumbar drains. The investigators decided to test this assumption. In this study, the investigators will randomize patients to either placement of a ventricular or a lumbar drain and analyze the CSF drainage on a daily basis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lumbar drain group | Experimental | Lumbar drain |
|
| Ventricular drain | Active Comparator | Ventricular drain |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lumbar drain | Procedure |
| ||
| Ventricular drain |
| Measure | Description | Time Frame |
|---|---|---|
| Accumulated Hb and bilirubin in CSF drainage | From drain placement to removal, in average 10 days. |
| Measure | Description | Time Frame |
|---|---|---|
| placement of a ventriculoperitoneal shunt | participants will be followed for the duration of hospital stay, in average 3 weeks | |
| Lindegaard ratio (TCD) > 3 | the participants will be followed for the duration of hospital stay, in average 3 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Peter Birkeland, MD | Odense University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Neurosurgery, Odense University Hospital | Recruiting | Odense | DK-5000 | Denmark |
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| ID | Term |
|---|---|
| D013345 | Subarachnoid Hemorrhage |
| ID | Term |
|---|---|
| D020300 | Intracranial Hemorrhages |
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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|
| clinical signs of vasospasms | The participants will be followedd for the duration of hospital stay, in average 3 weeks |
| D009422 | Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D006470 | Hemorrhage |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |