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intraventricular_hemorrhage

Intraventricular hemorrhage

Intraventricular extension of intracerebral hemorrhage (ICH) predicts poor outcome, but the significance of delayed intraventricular haemorrhage (dIVH) is less well defined.

It is the most severe form of stroke.

One hundred thirty-nine (51.3 %) patients with intraventricular hemorrhage developed ventricular dilatation, but only 47 patients (17.34 %) needed shunting. In seven cases, temporary neurosurgical procedures were performed, but in all of them, this was followed by ventriculoperitoneal shunt implantation. The infection rate was 4.25 %, and shunt obstruction rate was 4.25 %. More than 80 % of patients were classified as good or excellent functional state. Mean follow-up period was 38.75 months (SD, 27.09; range, 1-102 months).

Etiology

Classification

Scores

Treatment

Complications

Obstructive hydrocephalus is a relatively common complication of intraventricular hemorrhage resulting in high morbidity and mortality.

Intraventricular hemorrhage (IVH) is a common complication of premature neonates with small birth weight, which often leads to hydrocephalus and treatment with ventriculoperitoneal (VP) shunting procedures.

Case series

Two cases of transient obstructive hydrocephalus caused by obstruction of mesencephalic duct in patients that presented with altered consciousness which resolved spontaneously in a few hours. In very rare cases, obstructive hydrocephalus due to intraventricular hemorrhage may be transient and does not need neurosurgical or invasive procedures for lowering raised intracranial pressure, which otherwise are currently preferred treatment options 1).

1)
Jergović I, Budinčević H, Planjar-Prvan M, Bielen I. TRANSIENT OBSTRUCTIVE HYDROCEPHALUS IN PATIENTS WITH INTRACEREBRAL HEMORRHAGE: REPORT OF TWO CASES. Acta Clin Croat. 2016 Sep;55(3):497-500. PubMed PMID: 29046016.
intraventricular_hemorrhage.txt · Last modified: 2019/08/14 20:32 by administrador