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Prognosis in traumatic intraventricular haemorrhage
P N Jayakumar1, V R Kolluri, D G Basavakumar
1Department of Neuro Radiology, National Institute of Mental Health and Neuro Sciences, Bangalore, India.
Acta Neurochirurgica
|January 1, 1990
Summary
Traumatic intraventricular haemorrhage (TVH) is a rare but severe condition following blunt head injury. Patients with TVH exhibit poor prognosis, often linked to the overall severity of brain trauma rather than solely the bleeding.
Area of Science:
- Neurology
- Neurosurgery
- Trauma Surgery
Background:
- Traumatic intraventricular haemorrhage (TVH) is an uncommon consequence of severe blunt head injuries.
- Understanding the clinical presentation and outcomes of TVH is crucial for managing these complex cases.
Purpose of the Study:
- To evaluate the clinical profile and prognosis of patients who sustained traumatic intraventricular haemorrhage after blunt head injury.
- To compare findings with existing literature on TVH.
Main Methods:
- Retrospective analysis of 16 patients with TVH following blunt head injury.
- Clinical data collection including Glasgow Coma Scale scores and injury characteristics.
- Computed Tomography (CT) scan findings were analyzed to determine haematoma location.
Main Results:
- The majority of patients (94%) presented with a low Glasgow Coma Scale score (<8).
- No patients experienced a lucid interval post-injury.
- CT scans revealed haematoma locations including near the foramen of Monroe and within the lateral ventricles.
- The mortality rate in this subgroup was high at 62.5%.
Conclusions:
- Traumatic intraventricular haemorrhage is associated with severe head trauma and a poor prognosis.
- The grim outcomes in TVH cases likely reflect the overall severity of brain damage, not solely the intraventricular bleeding itself.