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Related Experiment Videos

Spontaneous intraventricular haemorrhage.

A Verma, M C Maheshwari, S Bhargava

    Journal of Neurology
    |May 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Spontaneous intraventricular hemorrhage (IVH) prognosis is better than previously thought. Patients without adjacent brain lesions show favorable outcomes, questioning the notion of a universally grave prognosis for IVH.

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    Area of Science:

    • Neurology
    • Neurosurgery
    • Radiology

    Background:

    • Intraventricular hemorrhage (IVH) is a serious neurological condition.
    • The prognosis of spontaneous IVH is often considered grave.
    • Understanding factors influencing IVH outcomes is crucial for patient management.

    Purpose of the Study:

    • To evaluate the clinical outcome of spontaneous intraventricular hemorrhage (IVH).
    • To identify distinct patient groups based on IVH characteristics and associated brain lesions.
    • To reassess the prognostic implications of spontaneous IVH.

    Main Methods:

    • Retrospective review of 21 patients with spontaneous IVH.
    • Classification into two groups based on clinical and CT findings: Group 1 (IVH without adjacent parenchymal lesions) and Group 2 (IVH with adjacent lesions).

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  • Analysis of survival rates, functional outcomes, and influencing factors (age, blood volume, initial presentation).

    • Main Results:

    • Group 1 (12 patients): 8 survived with good recovery.
    • Group 2 (9 patients): 3 survived, with 2 experiencing significant handicap.
    • Favorable prognosis was associated with IVH of unknown cause and absence of parenchymal bleeding.
    • Altered sensorium indicated a grave prognosis, regardless of IVH cause.
    • Age and intraventricular blood volume did not significantly affect outcomes.

    Conclusions:

    • Spontaneous IVH may have a more favorable outcome than presumed, particularly when no adjacent parenchymal bleeding is evident.
    • The presence of concomitant intraparenchymal lesions significantly worsens the prognosis.
    • The study challenges the universal notion of a grave prognosis for all types of IVH.