Early surgery versus initial conservative treatment in patients with spontaneous supratentorial intracerebral haematomas in the International Surgical Trial in Intracerebral Haemorrhage (STICH): a randomised trial Cerebrovascular Conference October 15, 2012 John F Morrison MD
Early surgery versus initial conservative treatment in patients with spontaneous supratentorial intracerebral haematomas in the International Surgical Trial in Intracerebral Haemorrhage (STICH): a randomised trial Cerebrovascular Conference October 15, 2012. John F Morrison MD . STICH. - PowerPoint PPT Presentation
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Early surgery versus initial conservative treatment in patients with spontaneous
supratentorial intracerebral haematomas in the International Surgical Trial in Intracerebral
Haemorrhage (STICH): a randomised trial
Cerebrovascular ConferenceOctober 15, 2012
John F Morrison MD
STICH• PURPOSE: Compare early surgery with conservative
management
• METHODS: Parallel trial with randomized grouping (early surgery vs. conservative management). Glasgow outcome scale at 6-month follow-up
• RESULTS: Surgery trended towards favorable outcome, but insignificant.
• CONCLUSIONS: No overall benefit from early surgery
DEMOGRAPHICS
• Incidence – 2 in 10,000
• 10 – 40% of strokes
• Mortality – up to 60% reported
• Low functional recovery (~10% w/ minor deficit)
STICH
• Inclusion criteria:– CT evidence spontaneous supratentorial ICH