J Cerebrovasc Endovasc Neurosurg.  2019 Mar;21(1):18-23. 10.7461/jcen.2019.21.1.18.

Solitary intraventricular hemorrhage without subarachnoid hemorrhage due to aneurysmal rupture: a case report

Affiliations
  • 1Department of Neurosurgery, Gyeongsang National University School of Medicine and Gyeongsang National University Changwon Hospital, Changwon, South Korea. 1coo3004@naver.com
  • 2Department of Neurosurgery, Seoul National University Bundang Hospital, Seongnam-si, South Korea.
  • 3Department of Neurosurgery Gyeongsang National University School of Medicine and Gyeongsang National University Hospital, Jinju, South Korea.
  • 4Department of Radiology, Gyeongsang National University School of Medicine and Gyeongsang National University Changwon Hospital, Changwon, South Korea.
  • 5Department of Neurology, Gyeongsang National University School of Medicine and Gyeongsang National University Changwon Hospital, Changwon, South Korea.

Abstract

The presence of primary intraventricular hemorrhage (IVH) without vascular lesion is very rare. We experienced solitary IVH without subarachnoid hemorrhage due to aneurysmal rupture in a 58-year-old man treated with coil embolization, which contributed to his good prognosis. After 33 days of hospitalization, he had mild right hemiplegic symptoms remaining, and he was transferred to a rehabilitation institute for further treatment. In cases of primary IVH, computed tomography angiography seems worthwhile for making a differential diagnosis, although the possibility of IVH due to cerebral aneurysmal rupture is very low. Endovascular intervention is a good option for diagnosis and treatment.

Keyword

Cerebral angiography; Intraventricular hemorrhage; Intracranial aneurysm; Endovascular procedures; Subarachnoid hemorrhage
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