Volume : X, Issue : VII, July - 2020

Isolated Traumatic Intra-Ventricular Hemorrhage and Outcome: An Analysis

Dr Abhinav Debnath, Col S K Sengupta, Col Subir Dey

Abstract :

BACKGROUND: Traumatic isolated traumatic intra–ventricular hemorrhage is very rare and these are often associated with other parenchymal injuries. The overall outcome of patients with traumatic isolated intra–ventricular hemorrhage is poor. We analyze the possible mechanism for isolated traumatic intraventricular hemorrhage at our institute over a period of two years and their outcome. METHOD: 202 patients were admitted in the tertiary center of Armed Forces Center from August 2017 to July 2019 with closed head injury, of those only 15 (7.4%) patients with isolated intraventricular hemorrhage (GCS less than 8) are studied. The patients with isolated IVH with no other haemorrhage, no comorbidity, no history of alcohol intake and any previous psychiatric illness were included in this study. These patients were assessed with Glasgow Outcome Score (GOS) scale to measure the outcome at the time of discharge. RESULTS: Out of 15 patients, four (26.6%) patients showed hyperdense lesion in frontal horn, five (33.3%) had hyperdense lesion in occipital horn and six (40%) had hyperdense lesion at foramen of Monroe / third ventricle, among them one had hyperdense in both III ventricle and IV ventricle. All the patients showed isolated intraventricular hemorrhages without any vascular on CT Scan and CT Angiogram. Two had Good Recovery (13%), five had Moderate disability (33%), three had severe disability (20 %) and five had died (33.3%). CONCLUSION: The acceleration–deceleration impact along the long axis of the skull may cause sheå injury to perforating vessels of the ependymal layer of the ventricle. The outcome is directly related to initial GCS and it was equivocal on GOS scale.

Keywords :

Article: Download PDF    DOI : 10.36106/ijar  

Cite This Article:

ISOLATED TRAUMATIC INTRA-VENTRICULAR HEMORRHAGE AND OUTCOME: AN ANALYSIS, Dr Abhinav Debnath, Col S K Sengupta, Col Subir Dey INDIAN JOURNAL OF APPLIED RESEARCH : Volume-10 | Issue-7 | July-2020

Number of Downloads : 168

References :