[Primary and secondary intraventricular hemorrhage--clinical analysis]

In the recent decades an evident increase in the number of diagnosed intraventricular haemorrhages has been noted. The trial was undertaken of assessing of the incidence of primary and secondary intraventricular haemorrhages, the role of aetiological factors in various types of haemorrhages, the risk factors and the results of imaging procedures, as well as the clinical symptoms and treatment methods. The analysed group comprised 90 patients in hospital with the diagnosis of intraventricular haemorrhage in the years 1989-1996. The diagnosis was based on the results of computerized tomography /CT/ and on autopsy in one case. The clinical course of the cases varied considerably: very serious mainly in secondary intraventricular haemorrhages with high mortality. No signs pathognomic for intraventricular haemorrhage were found. The prognosis in primary intraventricular haemorrhage was better. Hypertension as risk factor was present in 71 cases. Pathological changes of blood vessels were found in 23 cases.