Posttraumatic isolated intraventricular hemorrhage a rare entity: Case series

Abstract

Background:Traumatic Intraventricular hemorrhage is commonly associated with other lesions like intracerebral contusions, subdural hemorrhage and subarachnoid hemorrhage. Isolated post- traumatic intraventricular hemorrhage is uncommon. It is mostly seen in the pediatric population and rarely seen in adults.Aims:To analyze the Demographics, mode of Injuries and outcome in injuries causing isolated post traumatic intraventricular hemorrhage which is a rare entity.Materials and Methods:This is a Retrospective analytic study of six cases, conducted at our Hospital in a span of eight years [2010-2018].Results:Mean age of presentation is 36 years and all were males. The most common clinical presentation included loss of consciousness followed by vomiting and ENT bleed. Four cases presented with severe head injury and two with mild head injury as per Glasgow coma scale score. Mode of injury was acceleration and deceleration in all the cases. NCCT and CT Angiogram brain were done in all the cases which revealed isolated intraventricular hemorrhage without any vascular or tumoral pathology. All the patients were managed conservatively.Conclusion:The outcome was equivocal (3 patients had a bad outcome and 3 good outcomes) in our study.

Long-term Tractography Evaluation of Corpus Callosum Impairment After Severe Traumatic Brain Injury in Patients With Isolated Intraventricular Hemorrhage on Admission CT: Two Illustrative Cases and a Literature Review

“…According to several studies, the mortality rate of IVH in patients after TBI varies from 11.4% to 65%. 2 11 19 21) In the presented cases, the patients suffered from severe TBI with poor outcomes. There is a limited number of studies concerning the association between CC injury on MRI and the presence of traumatic IVH on CT 6 8 12 13 14) ( TABLE 2 ).…”

“…The incidence of IVH is reported by different studies to be 0.4%–22%, with higher rates of occurrence in patients with severe TBI. 11 14 19 21) IVH can be classified as isolated or associated with minor or significant CT findings. An isolated traumatic IVH correlates with no other findings on initial head CT, except for a contusion in the basal ganglia.…”

Diversity in imaging findings of head injury patients: Our experience in a tertiary level hospital

“…It can also occur as a direct extension of parenchymal hematoma into ventricular system. It is a less common finding in trauma patients 10 . Diffuse axonal injury (DAI) occurs as a result of traumatic acceleration and deceleration and is related to the rotational injuries of the brain.…”