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intraventricular_hemorrhage

Intraventricular hemorrhage

Etiology

see Intraventricular hemorrhage etiology.

Classification

Traumatic intraventricular hemorrhage

Spontaneous intraventricular hemorrhage

Intraventricular hemorrhage after ruptured intracranial aneurysms…

Intraventricular Hemorrhage in Pediatric Patient

Periventricular-intraventricular hemorrhage.

Scores

Graeb Score

LeRoux score

Papile-Burstein classification.

Treatment

see Intraventricular hemorrhage treatment.

Outcome

It is the most severe form of stroke.

Presence of intraventricular hemorrhage portends a high risk of developing obstructive hydrocephalus and decreased survival 1).

The significance of delayed intraventricular haemorrhage (dIVH) is less well defined.

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).

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 2).

1)
Hanley DF. Intraventricular hemorrhage: severity factor and treatment target in spontaneous intracerebral hemorrhage. Stroke. 2009 Apr;40(4):1533-8. doi: 10.1161/STROKEAHA.108.535419. Epub 2009 Feb 26. Review. PubMed PMID: 19246695; PubMed Central PMCID: PMC2744212.
2)
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: 2020/05/04 17:27 by administrador