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[Intraventricular hemorrhage]
1Neurochirurgische Universitätsklinik, Kantonsspital Basel.
Insights
Ruptured aneurysms and hypertensive bleeds were common causes of intraventricular hemorrhage. Outcomes varied, with significant mortality and neurological deficits observed in patients.
Area of Science:
- Neurology
- Neurosurgery
- Radiology
Context:
- Intraventricular hemorrhage (IVH) is a serious neurological condition.
- Diagnosis and management of IVH require advanced imaging and surgical interventions.
Purpose:
- To analyze the causes, treatments, and outcomes of intraventricular hemorrhage.
- To evaluate the efficacy of surgical interventions for IVH.
Summary:
- A retrospective study of 34 patients with intraventricular hemorrhage (IVH) diagnosed via computed tomography (CT) between 1981 and 1990.
- Ruptured aneurysms (35.3%) and hypertensive hemorrhages (23.5%) were the most frequent causes of IVH. The etiology remained undetermined in 20.6% of cases.
- Surgical interventions included ventricular drainage, aneurysm clipping, osteoplastic craniotomy, and burr hole trepanation, chosen based on the underlying cause.
- One-year follow-up revealed complete functional recovery in 23.53% of patients, while 29.41% experienced neurological deficits. The overall mortality rate was 47.1%.
Impact:
- This study highlights the significant morbidity and mortality associated with intraventricular hemorrhage.
- Findings underscore the importance of identifying the underlying cause for appropriate management and improving patient outcomes.
- The data provides valuable insights into the long-term functional status and survival rates following IVH treatment.
Abstract:
In the University Cantonal Hospital in Basel, 34 intraventricular hemorrhages were diagnosed by computer tomography from 1981 to 1990. The most frequent cause of bleeding into the ventricular system (35.3%) was rupture of an aneurysm, followed by hypertensive hemorrhages (23.5%). The cause of bleeding into the ventricular system could not be found in 20.6% of the cases investigated. The hemorrhage was present in all ventricles in 13 cases. A ruptured aneurysm was responsible for this in five patients. The hemorrhage was found in two and three ventricles in 11 cases. Only one ventricle was filled with blood in 10 cases; this was due to hypertensive hemorrhage in four patients. Besides open and enclosed ventricular drainage, aneurysm clipping was carried out in six cases, osteoplastic craniotomy in 12 cases and bore hole trepanation in four cases, depending on the underlying disease responsible for bleeding into the ventricular system. We were able to observe restitution of complete functional integrity at the follow-up examination one year later in eight cases (23.53% of all patients). Neurological deficits were shown at follow-up in 10 cases (= 29.41%). In our patients, the mortality was 47.1% (= 16 patients).