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Journal of Korean Neurosurgical Society 1991;20(5): 303-312. |
| Clinical Analysis of Spontaneous Intracranial Hemorrhage Associated with Intraventricular Hemorrhage. |
| Kwang Dong Lee, Chul Hu, Soon Ki Hong, Hun Joo Kim, Yong Pyo Han |
| Departments of Neurosurgery, Yonsei University College of Medicine, Wonju, Korea. |
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| ABSTRACT |
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The authors analyzed retrospectively 183 cases of spontaneous intractranial hemorrhages associated with intraventricular hemorrhage according to their etiology, location of involved intraventricular hemorrhage(IVH), initial Hunt and Hess Grade, activities of daily living(ADL) system, and degree of inital ventricular dilatation. The overall incidence of spontaneous intracranial hemorrhage associated with intraventricular hemorrhage was 55%, 183 cases among 333 spontaneous intracranial hemorrhages. The etiologies of intraventricular hemorrhage were hypertension, aneurysm, and arteriovenous malformation, in order of frequency, which constituted 85% of total cases. There noted significant relationship between initial Hunt and Hess Grade and final outcome on 6-month follow-up(P>0.0001). Although initial subarachnoid hemorrhage appeared to provoke the dilatation of ventricle more than without it, in cases of survival, subarachnoid hemorrhage did not appear to inhibit the absorption of intraventricular hemorrhage (P>0.05). The overall mortality rate on 6-month follow-up was 20.2%, but poor outcome was noted in 40.4%. |
| Key Words:
Intraventricular hemorrhage; Spontaneous intracranial hemorrhage(SICH); Hunt and Hess Scale; Activities of daily living(ADL) system |
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