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Primary intraventricular haemorrhage in adults
S Passero1, M Ulivelli, F Reale
1Dipartimento di Neuroscienze, Sezione di Neurologia, Universitá di Siena, Italy. passero@unisi.it
Acta Neurologica Scandinavica
|March 21, 2002
Summary
Primary intraventricular haemorrhage (PIVH) is rare, with high mortality. Early hydrocephalus and low Glasgow Coma Scale scores predict in-hospital death, suggesting a need for prompt intervention in PIVH patients.
Area of Science:
- Neurology
- Neurosurgery
- Radiology
Background:
- Primary intraventricular haemorrhage (PIVH) is an uncommon intracerebral haemorrhage subtype.
- Limited data exists on PIVH clinical features, imaging, prognosis, and mortality predictors.
Purpose of the Study:
- To analyze clinical and imaging features of PIVH.
- To identify causative factors and outcomes in PIVH patients.
- To determine predictors of in-hospital mortality for PIVH.
Main Methods:
- Retrospective analysis of 26 patients with CT-confirmed PIVH.
- Evaluation of clinical presentation, imaging findings, and causative factors.
- Multivariate regression analysis of failure time data to assess mortality predictors.
Main Results:
- Common presentations included loss of consciousness, headache, and vomiting.
- Vascular malformations (31%), arterial hypertension (10%), and clotting disorders were identified causes.
- High in-hospital mortality (42%) was observed, with early hydrocephalus and Glasgow Coma Scale < or = 8 as independent predictors.
Conclusions:
- Early hydrocephalus is a critical determinant of in-hospital mortality in PIVH.
- These findings highlight the need for early treatment strategies for hydrocephalus in PIVH patients.