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Prognosis in traumatic intraventricular haemorrhage
Authors:P. N. Jayakumar  V. R. Sastry Kolluri  D. G. Basavakumar  B. Y. T. Arya  B. S. Das
Affiliation:(1) Departments of Neuro Radiology, National Institute of Mental Health and Neuro Sciences, Bangalore, India;(2) Departments of Neuro Surgery, National Institute of Mental Health and Neuro Sciences, Bangalore, India
Abstract:
Summary Traumatic intraventricular haemorrhage (TVH) is rare. The clinical profile and prognosis in 16 patients with traumatic intraventricular haemorrhage after blunt head injury are evaluated. Majority of the patients (94%) had low Glasgow coma score (<8) on admission and none had a lucid interval. CT showed haematoma adjacent to the foramen of Monroe in 5 patients and localised to the frontal horn or the body of the lateral ventricle in six. The mortality was 62.5% in this subgroup of patients with head injury. Our findings are compared to those of previous reports in the literature.The poor prognosis of cases with TVH reflects the severity of trauma and general brain damage and is probably not related only to the intraventricular bleeding.
Keywords:Computed tomography  head injury  traumatic intraventricular haemorrhage  prognosis
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