The prognostic significance of intraventricular haemorrhage

It is a generally held view that intraventricular haemorrhage carries a poor prognosis in cases of intracranial haemorrhage. We tested this view by retrospective analysis of the records of 258 patients who had intracranial blood on CT scans seen over a seven-year period. The mortality and morbidity for intraventricular and non-intraventricular haemorrhage were compared for the three major causes of intracranial bleeding, viz. aneurysm, trauma, and spontaneous intracerebral haemorrhage. No significant difference was found between the two groups for each aetiological category. It was concluded that the CT scan finding of intraventricular blood has no prognostic significance.