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Journal of Korean Neurosurgical Society 1996;25(2): 388-393.
Traumatic Intraventricular Hemorrhage(TIVH).
Ho Jin Kim, Jhin Soo Pyen, Chul Hu, Soon Ki Hong, Hun Joo Kim, Yong Pyo Han
Department of Neurosugery, Wonju College of Medicine, Yonsei University, Wonju, Korea.
ABSTRACT
Intraventricular hemorrhage after blunt head trauma, which reflects the severity of head injury, is uncommon. A retrospective study of 109 traumatic intraventricular hemorrhage(TIVH) patients who were admitted between January 1, 1988 and December 31, 1993 was conducted. The results are as follows: 1) Incidence of TIVH and its associated mortality were 2.45% and 28.4%, respectively. 2) TIVH-associated radiological abnormalities were traumatic intracerebral hematoma(62.7%), skull fracture(42.7%), and traumatic subarachnoid hemorrhage(34.5%). 3) Amount of TIVH was related to traumatic intracerebral hematoma(p=0.0003) and traumatic subarachnod hemorrhage(p=0.0385). 4) The poorest prognostic indicator was associated abnormalities, especially corpus callosum or brainstem hemorrhage(p=0.0099). 5) TIVH-associated hydrocephalus was not related to the amount of TIVH(p=0.42), and poor prognosis(p=0.12). 6) Patients with TIVH showed better Glasgow coma scale and Glasgow outcome scale than TIVH-associated abnormalities.
Key Words: Traumatic intraventricular hemorrhage(TIVH); Associated abonormalities; Prognosis; Hydrocephalus
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