خونريزي داخل بطني به دنبال ضربه هاي غيرنفوذي مغز

Intraventricular hemorrhage in blunt head trauma

Introduction: Before the-CT scan was widely used for imaging, intraventricular hemorrhage (IVH) was a rare diagnosis and in most cases proved fatal. Currently, thanks to the CT scan IVH is easily diagnosed. Prognosis of IVH is very poor and almost always is accompanied with other intracranial traumatic lesions and pure traumatic IVH is very rare. Material and Methods: This descriptive study done on 28 patients with IVH. During a year 742 patients were admitted to the Neurosurgical Intensive Care Unit of Shahid Kamyab Hospital. Results: In 28 cases the leading cause of admittance was motor vehicle accidents, Most of the patients were between the age of 21-30., Out of 28 cases had IVH, 5 patients (18%) had pure IVH and the remaining others had intera cranial legions like, parenchymal hemorrhage, sub-arachnoid hemorrhage , brain contusions, subdural hemorrhage and acute hydrocephalus in one patient (3.6%). 82% of patients had a very low-conscious level at admittance, which measured by the Glasgow Coma Scale, lower than 8. Mortality was higher than 61%. Four patients had surgical treatment and all died. Eight cases did not have any surgical procedure. Conclusion:Traumatic IVH is very rare in severe blunt head injuries and is associated with other brain lesions and had a poor prognosis. Mortality rate is different and depends on other accompanying intracranial lesions. Surgical intervention does not have a significant effect for a successful out come.