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Intracranial Pressure Monitoring In Nontraumatic Intraventricular Hemorrhage Rodent Model
Published on: February 8, 2022
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Adult Primary Intraventricular Hemorrhage: Clinical Characteristics and Outcomes.
Aswin Pai1, Ajay Hegde1, Rajesh Nair1
1Department of Neurosurgery, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Journal of Neurosciences in Rural Practice
|November 4, 2020
Summary
Adult primary intraventricular hemorrhage (PIVH) is rare but has a better prognosis than other strokes. Diagnostic cerebral angiography is crucial for identifying treatable vascular issues in PIVH patients.
Area of Science:
- Neurology
- Neurosurgery
- Vascular Neurology
Background:
- Adult primary intraventricular hemorrhage (PIVH) is an uncommon type of hemorrhagic stroke.
- The clinical profile, diagnostic yield of angiography, and prognosis of PIVH remain poorly understood.
Purpose of the Study:
- To define the clinical characteristics of adult PIVH patients.
- To evaluate the diagnostic yield of cerebral angiography in PIVH.
- To assess the long-term prognosis of PIVH.
Main Methods:
- Retrospective analysis of 30 adult PIVH patients admitted between February 2015 and February 2019.
- All patients underwent diagnostic cerebral angiography.
- Outcomes were assessed using the modified Rankin Scale (mRS) at 6 months.
Main Results:
- PIVH constituted 3.3% of spontaneous intracerebral hemorrhage (SICH) cases.
- Angiography identified surgically treatable vascular anomalies in 20% of patients (moyamoya disease, aneurysms).
- A favorable outcome (mRS 0-2) was achieved by 83.33% of patients at 6 months; higher IVH Graeb scores and hydrocephalus correlated with poor outcomes.
Conclusions:
- PIVH is an uncommon entity with a better long-term prognosis than SICH.
- Cerebral angiography is indicated in all PIVH cases to diagnose surgically remediable vascular anomalies.
- Early diagnosis and management of underlying vascular pathologies can improve PIVH outcomes.
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