Evaluation of intraventricular hemorrhage in pediatric intracerebral hemorrhage.

Kleinman JT, Beslow LA, Engelmann K, Smith SE, Licht DJ, Ichord RN, Jordan LC
J Child Neurol. 2012 27 (4): 526-31

PMID: 22068828 · PMCID: PMC3428149 · DOI:10.1177/0883073811422272

Previous studies of pediatric intracerebral hemorrhage have investigated isolated intraparenchymal hemorrhage. The authors investigated whether detailed assessment of intraventricular hemorrhage enhanced outcome prediction after intracerebral hemorrhage. They prospectively enrolled 46 children, full-term to 17 years, median age 2.7 years, with spontaneous intraparenchymal hemorrhage and/or intraventricular hemorrhage. Outcome was assessed with the King's Outcome Scale for Childhood Head Injury. Twenty-six (57%) had intraparenchymal hemorrhage, 10 (22%) had pure intraventricular hemorrhage, and 10 (22%) had both. There were 2 deaths, both with intraparenchymal hemorrhage and intraventricular hemorrhage volume ≥4% of total brain volume. Presence of intraventricular hemorrhage was not associated with poor outcome, but hydrocephalus showed a trend (P = .09) toward poor outcome. In receiver operating characteristic curve analysis, combined intraparenchymal hemorrhage and intraventricular hemorrhage volume also showed a trend toward better outcome prediction than intraparenchymal hemorrhage volume alone. Although not an independent outcome predictor, future studies should assess intraventricular hemorrhage qualitatively and quantitatively.

MeSH Terms (14)

Adolescent Age Factors Cerebral Hemorrhage Cerebral Ventricles Cerebral Ventriculography Child Child, Preschool Female Humans Infant Male Outcome Assessment, Health Care Prognosis Tomography, X-Ray Computed

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