Primary Intraventricular Hemorrhage

J Korean Neurol Assoc > Volume 6(2); 1988 > Article

Journal of the Korean Neurological Association 1988;6(2): 240-247.

원발성 뇌실 출혈

이남수, 노재규,나덕렬,이상복,명호진,장기현,한대희

서울대학교 신경과, 방사선과, 신경외과.

Primary Intraventricular Hemorrhage

Nam-Soo Lee,M.D.,Jae-Kyu Rho,M.D.,sang-Bok Lee,M.D.,Ho-Jin Myoung,M.D., Dae-Hee Han,M.D., Kee-Hyun Chang,M.D.

Department of neurology , College of medicine, Seoul National University Department of Radiology, College of medicine, Seoul National University

Abstract

Nine adult patients with non-traumatic primary intraventricular hemorrhage (PIVH) were reviewed. Lack of lateralizing sign could be one of the differential points between PIVH and secondary intraventricular hemorrhage (SIVH). In three cases, vascular malformations were identified. Bleeding diathesis was present in one. The pathogenesis of hemorrhage in the remaining five cases was speculated. According to the mainly involved ventricle, prognosis was presumed to be variable. From this study, we conclude that for PIVH investigation including angiography and/or magnetic resonance imaging should be done to identify the etiology and to conduct appropriate management. Survival was more common than SIVH.