Posttraumatic Isolated Intraventricular Hemorrhage a Rare Entity: Case Series.

Abstract

Background:Traumatic Intraventricular hemorrhage is commonly associated with other lesions like intracerebral contusions, subdural hemorrhage and subarachnoid hemorrhage. Isolated post- traumatic intraventricular hemorrhage is uncommon. It is mostly seen in the pediatric population and rarely seen in adults.Aims:To analyze the Demographics, mode of Injuries and outcome in injuries causing isolated post traumatic intraventricular hemorrhage which is a rare entity.Materials and Methods:This is a Retrospective analytic study of six cases, conducted at our Hospital in a span of eight years [2010-2018].Results:Mean age of presentation is 36 years and all were males. The most common clinical presentation included loss of consciousness followed by vomiting and ENT bleed. Four cases presented with severe head injury and two with mild head injury as per Glasgow coma scale score. Mode of injury was acceleration and deceleration in all the cases. NCCT and CT Angiogram brain were done in all the cases which revealed isolated intraventricular hemorrhage without any vascular or tumoral pathology. All the patients were managed conservatively.Conclusion:The outcome was equivocal (3 patients had a bad outcome and 3 good outcomes) in our study.