Post-traumatic intraventricular hemorrhage: analyssis of 19 cases

Post-Traumatic Intraventricular Haemorrhage (IVH) occurs after a traumatic head injury and is usually associated with an adjacent intracerebral hemorrhage or brain contusion. Post-traumatic IVH was associated with other brain lesion in most cases. In fact, thepethogenetic mechanism that governs the formation of a post-traumatic IVH is not clear. Computed tomography represents the first reliable and nonsurgical tool for identifying IVH, where the sites of ventricular haemorrhage have been analysed. Ventricular drainage is used to made a good recovery in pacients with IVH. Prognostic in traumatic IVH, in general, is poor. In our study, we had 19 pacients with IVH, with 76 per cent male and 24 per cent female. Age average's were 30,3. As for the causes we had hit by a car, car collision, gunshot accident, fall and fight. CT was very important to detect IVH in our cases. The surgery was more frequent in our study when additional intracranial lesions were present. There were 8 death and 11 pacients had good recovery

IV Ventrículo isolado: consideraçöes e relato de 3 casos / Isolated IV ventricle: considerations and report of 3 cases

Inúmeras säo as complicaçöes das derivaçöes usadas no tratamento da hidrocefalia. O isolamento do IV ventrículo das demais cavidades e espaços liquóricos, sua dilataçäo conseqüente e a sintomatología associada constituem a chamada síndrome do IV ventrículo isolado. A literatura recente é revisada e 3 novos casos säo descritos, chamando-se a atençäo para a importância que tem a causa inicial da hidrocefalia na etiologia do isolamento do IV ventrículo. O diagnóstico atualmente é feito pela demonstraçäo, por tomografia computadorizada, da dilataçäo persistente ou tardia do IV ventrículo, com dimensöes normais ou reduzidas do restante do sistema ventricular. A drenagem adicional deste ventrículo por derivaçäo é o tratamento de escolha