Türk Nöroşirürji Dergisi 2013 , Vol 23 , Num 1
The Specific Features and Prognostic Factors in Secondary Intraventricular Hemorrhage: A Single-Center Experience
Semih GİRAY1, Kadir TUFAN2, Feyzi Birol SARICA2, Zülfikar ARLIER1, Orhan ŞEN2
1Başkent Üniversitesi, Tıp Fakültesi, Nöroloji Anabilim Dalı, Adana, Türkiye
2Başkent Üniversitesi, Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, Adana, Türkiye
AIM: Spontaneous intracerebral hemorrhage is the most devastating type of stroke and often accompanied by intraventricular hemorrhage. The purpose of this study was to examine the relationship between intracerebral hemorrhage volume and anatomic location for intraventricular hematomas, effects to the outcome of intracerebral hematoma decompression into the ventricle.

MATERIAL and METHODS: 70 patients diagnosed with non-traumatic spontaneous intracerebral hemorrhage were included. In 25 patients intracerebral hemorrhage was accompanied by intraventricular hemorrhage. Average intracerebral hematoma volume, intraventricular hemorrhage rate and the average scores, the intracerebral hemorrhage localization and its effects on clinical outcome were evaluated statistically.

RESULTS: In 25 patients with intraventricular hematomas was accompanied by intraventricular hemorrhage. Intraventricular hemorrhage was more common in patients with caudate, thalamic and putaminal hemorrhages. There was statistically significant relationship between localization and volume of intraventricular hematomas with the formation of intraventricular hemorrhage. It has shown that ventricular expansion of intracerebral hematoma has negative effect on outcome. Ventricular expansion found to be statistically significant independent prognostic factors.

CONCLUSION: Intraventricular hemorrhage was observed in one third of patients with intracerebral hematomas. There was a significant association between the intraventricular hemorrhage presence with intraventricular hematoma volume and location. Spontaneous ventricular decompression was associated with poor outcome. Anahtar Kelimeler : Stroke, İntraventricular hemorrhage, Spontaneous intracerebral hemorrhage