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Are all spontaneous supratentorial haematomas eligible despite their anatomical site?

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Are all spontaneous supratentorial haematomas eligible despite their anatomical site?

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A. No, only lobar bleeds within 1 cm of the cortical surface, where there is no extension into the ventricals or the basal ganglia. Please see the example scans. Q. Is an ICH related to anticoagulant or thrombolytic treatment eligible for the trial? A. Yes but the patients anticoagulant status should be reversed prior to randomisation. Q. If the patient is eligible for the trial, but the treating Consultant Neurosurgeon feels surgery is mandatory, what happens? A. This patient cannot be entered into the trial. Patients are only eligible if the treating Neurosurgeon is in equipoise about the need for surgical evacuation of the haematoma. Q. Should an External Ventricular Drain (EVD) become necessary after randomisation, can the patient still be included in the trial? A. Yes. Simply record any neurosurgical procedure on the Discharge / 2 week Follow-up Form. Insertion of EVD only, without surgical evacuation of ICH still constitutes conservative treatment, and can be carried out on patie

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