Traumatic Intraventricular Haemorrhage

Abstract

SummaryThe findings of computerized tomography and clinical features were studied in 19 patients with traumatic intraventricular haemorrhage. Blood was found in various portion of the ventricles. Main sites of the blood was as follows: around the foramen of Monro, 6 patients; in the body and occipital horn of the lateral ventricle, 5 patients; solely in the occipital horn, 8 patients. The haemorrhage around the foramen of Monro, resulting from contusion of the ventral portion of the corpus callosum, septum pellucidum, and fornix, showed an interesting CT finding. Intracranial co-existing lesions were seen in 17 patients, and extracranial lesions were seen in 13 patients, suggesting the external force was excessive. Both the Glasgow coma scale scores on admission and Glasgow outcome scale were generally unfavourable, but 4 patients showed good recovery. The final outcome was mainly influenced by the severity of the coexisting intracranial lesions.

Delayed intraventricular hemorrhage with hydrocephalus following evacuation of post traumatic acute subdural hematoma

“…Piek and Bock described 9 cases of traumatic secondary IVH and reported 2 cases in whom IVH occurred after a lucid interval of 10 hours following injury 12 . Sato et al concluded from their study of 19 patients of traumatic IVH that final outcome of such patients was mainly influenced by the severity of coexisting intracranial lesions 13 .…”

Defining “therapeutically inconsequential” head computed tomographic findings in patients with blunt head trauma

“…[20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39] This work proposes that the CT findings listed in Figure 1 are important in terms of intervention, but speculation centers on CT scans that lack these findings. Confirmation that these lesions, in concert with the clinical examination, are therapeutically inconsequential would obviate the need to identify them when they occur in isolation (in the absence of other more serious injuries).…”