Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Original article / research
Year : 2018 | Month : June | Volume : 12 | Issue : 6 | Page : OC01 - OC04

Primary Intraventricular Haemorrhage: Clinical and Aetiological Profile with Predictors of Outcome-A Hospital Based Study

Koushik Pan, Alak Pandit, Bhaskar Bhattacharyya, Tejendranath Kundu

1. Registrar, RKMSP, Vivekananda Institute of Medical Sciences, Kolkata, West Bengal, India. 2. Associate Professor, Department of Neurology, Bangur Institute of Neurosciences, Kolkata, West Bengal, India. 3. Associate Professor, Department of Neurology, Bangur Institute of Neurosciences, Kolkata, West Bengal, India. 4. Professor, Department of Neurology, Bangur Institute of Neurosciences, Kolkata, West Bengal, India.

Correspondence Address :
Dr. Alak Pandit,
The Gateway, Tower-6, Flat-302, Unsani, Santragachi, Howrah-711302, West Bengal, India.
E-mail: dralakpandit@gmail.com

Abstract

Introduction: Primary Intraventricular Haemorrhage (PIVH) is defined as bleeding in the ventricular system without a discernable parenchymal component or arising within 15 mm from the ventricular wall. PIVH is rare in clinical practice. Due to its rarity clinical and radiological factors affecting the outcome have not been widely studied.

Aim: To evaluate clinical features, aetiology and predictors of outcome in PIVH.

Materials and Methods: Forty patients with PIVH evaluated and treated at Bangur Institute of Neurosciences, Kolkata, West Bengal, India, from March 2015 to October 2016. PIVH was diagnosed as haemorrhage in the ventricles only, detected by Computed Tomography (CT) scan without evidence of intraparenchymal, Subarachnoid Haemorrhage (SAH), and Intraventricular Haemorrhage (IVH) associated with trauma. MR angiography was done in all patients as well as Digital Subtraction Angiography (DSA) was done in 34 patients. Categorical and continuous data were analysed using SPSS version 20.0.1.

Results: A total of (n=16, 40%) patients were females and (n=24, 60%) were males. Headache was the most common mode of presentation (n=12, 30%). Hypertension was the most common predisposing factor (n=24, 60%) followed by Arterio Venous Malformations (AVMs) (n=10, 25%), Moyamoya Disease (MMD), (n=8, 20%), aneurysm (n=5, 12.5%), vaso occlusive disease (n=4, 10%). Seven patients developed hydrocephalus and died, while the rest 33 survived. Aetiology remained unidentified in 10 patients.

Conclusion: Hypertension is an important predisposing factor in PIVH. Hydrocephalus is a common complication. There is a need for an appropriate work-up on patients with PIVH, as most cases are potentially treatable.

Keywords

Angiography, Hydrocephalus, Hypertension

How to cite this article :

Koushik Pan, Alak Pandit, Bhaskar Bhattacharyya, Tejendranath Kundu. PRIMARY INTRAVENTRICULAR HAEMORRHAGE: CLINICAL AND AETIOLOGICAL PROFILE WITH PREDICTORS OF OUTCOME-A HOSPITAL BASED STUDY. Journal of Clinical and Diagnostic Research [serial online] 2018 June [cited: 2018 Aug 15 ]; 12:OC01-OC04. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2018&month=June&volume=12&issue=6&page=OC01-OC04&id=11593

DOI and Others

DOI: 10.7860/JCDR/2018/32328.11593

Date of Submission: Sep 06, 2017
Date of Peer Review: Nov 27, 2017
Date of Acceptance: Feb 24, 2018
Date of Publishing: Jun 01, 2018

FINANCIAL OR OTHER COMPETING INTERESTS: None.

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