J Korean Neurosurg Soc.  1997 Feb;26(2):191-195.

Clinical Analysis of Subarachnoid Hemorrhage with Intraventricular Hemorrhage due to Aneurysmal Rupture

• Hyun MH
• Kim KM
• Bak KH
• Shin HS
• Kim JM
• Kim YS
• Ko Y
• Oh SH
• Oh SJ
• Kim NK

Abstract

Eventhough the morbidity and mortality rate of subarachnoid hemorrhage(SAH) due to aneurysmal rupture has dramatically decreased, SAH associated with intraventricular hemorrhage(IVH) still shows a high mortality rate. Among total of 419 patients with SAH due to aneurysmal rupture, 43 cases were associated with IVH. Authors conducted a retrospective study on these cases based on age, sex, Hunt-Hess grade, location of aneurysm, presence of intracerebral hematoma(ICH), ventriculocranial ratio, method of treatment, and final outcome. Results were as follows; 1) In patients associated with IVH, initial mental status was poor. 2) Worse the initial mental status, worse the final outcome. 3) A higher mortality rate was associated with those patients with ICH. 4) Severe ventricular enlargement was associated with increased mortality rate. We believe that a better prognostic outcome would result if aggressive therapeutic methods such as ventriculostomy, basal cistern irrigation as well as lamina terminalis opening, are performed.

Keyword

Subarachnoid hemorrhage; Intraventricular hemorrhage; Ventriculostomy; Prognosis

MeSH Terms

Aneurysm*
Hemorrhage*
Humans
Hypothalamus
Mortality
Prognosis
Retrospective Studies
Rupture*
Subarachnoid Hemorrhage*
Ventriculostomy