Keywords : Blunt Trauma
Evaluation Of Prognosis Of Traumatic Intra Ventricular Haemorrhage Associated With Severe Blunt Trauma Involving The Head: An Institutional Based Study
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 8, Pages 1849-1854
Introduction: Intra ventricular haemorrhage (t IVH) from any route or source was thought to be relatively rare entity and invariably fatal before the advent of the newer technologies like computed tomography. The severity of the t IVH is reported to be related with the diffuse axonal injury that is the injury to the neurons in the area of corpus callosum. The aim of the present study was carried out to ascertain the characteristics and prognosis of the t IVH.
Materials and Methodology: There were almost 200 patients screened and only of about 32 patients meet the inclusion criteria. Patients reported with IVH due to other aetiologies were clearly excluded from the study. The diagnosis was reiterated with the help of computed tomography (CT) of the cranium. All persons with blunt traumatic head injury who presented to a participating study centre and received a head CT were included in the study. Patients without blunt trauma (including those with penetrating head trauma) and those undergoing head CT imaging for other reasons were not eligible for inclusion in this study.
Results: Twenty patients died within 1 month; of these, 7 patients died within 48 hours after admission. Of the survivors, at 6 months, 6 had moderate disability and six were normal. Septal haemorrhage was relatively observed in one patient which extended unto the 3rd ventricle and in some 8 cases the blood clot was reportedly located next to the foramen Monroe in close relation. 10 patients had their blood clots located closely to the frontal horn or the body of the lateral ventricle.
Conclusion: The extent of haemorrhage might reflect both the direction of force that has been applied to head and the other associated abnormality. The prognosis remains poor particularly if it had been involved all the four ventricles.