A Clinical Analysis of Pure Traumatic Intraventricular Hemorrhage

ABSTRACT

Although intraventricular hemorrhage is readily identifiable with computerized tomography, there has been little systematic study of its significance in head trauma. The authors had analysed 13 patients with pure intraventricular hemorrhage among a total of 104 patients who had traumatic intraventricular hemorrhage(TIVH). Clinical evaluation of patients was made according to the Glasgow Coma Scale(GCS) and their outcome was graded according to the Glasgow Outcome Scale(GOS). The initial clinical findings, the site and amount of ventricular hematoma, and the final outcome were analysed. Pure-TIVH was identified in 13(0.8%) out of 1596 patients who were admitted following head trauma. Hemorrhage involved only in the lateral ventricle in 9 cases; the 3rd or 4th ventricle in 3 cases, and involved all ventricles in 1 case. Eleven patients(GCS>7) had good outcomes, while the outcomes were poor in two patients(GCS<6).