Clinical trial Recruiting at 1 site Interventional Ages 18 to 75

Scalp block versus general anesthesia for burr‑hole evacuation of subdural hematoma

Official title: Scalp Block Versus General Anesthesia in Patients Undergoing Evacuation of Subdural Hematoma Via Burr Hole

Run by Sohag University · NCT07143799 · Data updated 2026-11-12

This trial tests whether using a scalp block instead of general anesthesia helps adults (18–75) having burr‑hole evacuation of a subdural hematoma.

More Chronic Subdural Hematoma trials

Quick facts

Study typeInterventional
Ages18 Years to 75 Years
SexAll
Enrollment80 (estimated)
SponsorSohag University
Academic / other
Locations1 site (Sohag)
StatusRecruiting
StartedAugust 11, 2025
Main results expectedMarch 20, 2026
Study endsMarch 20, 2026
Registry record updatedAugust 27, 2025
Trial IDNCT07143799 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults 18–75 with subdural hematoma scheduled for burr‑hole evacuation who are ASA II–III, have GCS ≥8, and do not have coagulopathy, infection at the injection site, heart block, or known sensitivity to study drugs are ideal candidates.

Probably not a fit

Patients with GCS <8, impaired coagulation, active infection at the injection site, significant heart block, or allergy to the study drugs are unlikely to benefit or be eligible.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Adults with subdural hematoma who meet eligibility criteria will be assigned to receive either a scalp block (local anesthetic) or standard general anesthesia (including cisatracurium for muscle relaxation) for burr‑hole evacuation. The study will compare intraoperative stability, postoperative pain control, immediate complications, and early recovery measures between the two approaches. Key inclusion criteria include age 18–75, ASA II–III, and GCS ≥8, while patients with coagulopathy, local infection, significant heart block, or known drug sensitivity are excluded. The procedure and assessments are conducted at a single center (Sohag University Hospital).

Why it matters

Potential benefit: If successful, this approach could reduce anesthesia‑related risks and improve pain control and early recovery after burr‑hole evacuation.

How similar studies have gone: Scalp block has been used in cranial surgery to reduce pain and blunt hemodynamic responses, but evidence specifically for burr‑hole evacuation is limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria

* Age from 18 to 75 years old.
* Both sexes.
* American Society of Anesthesiologists (ASA) physical status II-III.
* Patients with subdural hematoma undergoing burr-hole evacuation

Exclusion Criteria:

* Patients with a history of known sensitivity to study drugs.
* Glasgow Coma Scale (GCS) \<8
* Impaired coagulation profile.
* Any degree of heart block.
* Infection at site of injection

Where it's running

  • Sohag university hospital
    Sohag, Egypt
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.