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Published on: October 15, 2021
Traumatic intraventricular hemorrhage with a good prognosis
Merih Is1, Ferruh Gezen, Mehmet Akgul
1Duzce University, School of Medicine, Department of Neurosurgery, Duzce, Turkey. merihis@yahoo.com
A pediatric traffic accident survivor experienced traumatic intraventricular hemorrhage but recovered well. This case highlights that intraventricular hemorrhage in children can have a good prognosis with appropriate management.
Area of Science:
- Pediatric Neurology
- Traumatic Brain Injury
- Neuroimaging
Background:
- Intraventricular hemorrhage (IVH) can result from traumatic brain injury.
- Prognosis of IVH in pediatric patients varies significantly.
- Isolated IVH without other intracranial injuries is less common.
Observation:
- A 10-year-old girl sustained an isolated traumatic intraventricular hemorrhage after a traffic accident.
- Initial neurological examination was normal, with symptoms of headache and vomiting.
- Computed tomography revealed hemorrhage in the lateral and fourth ventricles.
Findings:
- The patient presented with a Glasgow Coma Score of 15.
- Management involved prophylactic antiepileptic drugs and close monitoring.
- Follow-up imaging demonstrated complete resolution of the hemorrhage within 5 days.
- Magnetic resonance imaging and angiography excluded vascular abnormalities.
Implications:
- This case suggests that isolated traumatic intraventricular hemorrhage in children may have a favorable prognosis.
- Early diagnosis and conservative management can lead to excellent outcomes.
- Further research into prognostic factors for pediatric traumatic IVH is warranted.
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