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A retrospective clinical study of 98 adult idiopathic primary intraventricular hemorrhage cases

The aim of the study is to define the clinical features, risk factors, treatment and prognosis of idiopathic primary intraventricular hemorrhage (IPIVH). We retrospectively collected the data of consecutively admitted patients who were diagnosed and treated for IPIVH in our hospital from January 201...

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Autores principales: Guo, Rui, Ma, Lu, Shrestha, Bal Krishna, Yu, Zhiyuan, Li, Hao, You, Chao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5079321/
https://www.ncbi.nlm.nih.gov/pubmed/27759637
http://dx.doi.org/10.1097/MD.0000000000005089
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author Guo, Rui
Ma, Lu
Shrestha, Bal Krishna
Yu, Zhiyuan
Li, Hao
You, Chao
author_facet Guo, Rui
Ma, Lu
Shrestha, Bal Krishna
Yu, Zhiyuan
Li, Hao
You, Chao
author_sort Guo, Rui
collection PubMed
description The aim of the study is to define the clinical features, risk factors, treatment and prognosis of idiopathic primary intraventricular hemorrhage (IPIVH). We retrospectively collected the data of consecutively admitted patients who were diagnosed and treated for IPIVH in our hospital from January 2010 to December 2014. The clinical information, treatment, and prognosis at the 6-month follow-up were analyzed. Among the 3798 cases of spontaneous intracranial hemorrhage (ICH), 98 IPIVH (2.58%) patients were recruited for the study. The study population consisted of 60 males and 38 females, with an average age (± standard deviation, SD) of 51.20 ± 15.48 years. The initial symptoms were headache (75 cases) and impaired consciousness (23 cases). The surgical treatments included hematoma evacuation under a microscope or an endoscope in 8 cases (8.16%), external ventricular drainage (EVD) in 11 cases (11.22%), lumbar drainage (LD) in 10 cases (10.20%), and a combination of EVD and LD in 11 cases (11.22%). In total, 4 patients died in the hospital (4.08%). At the 6-month follow-up, 73 patients (74.49%) had an improved outcome (modified Rankin scale [mRS] < 3), and 21 patients (21.43%) had a poor outcome (mRS ≥ 3 points) at the end of the 6-month follow-up. IPIVH is rare in clinical practice, and hypertension is the most common risk factor. Furthermore, the treatment of IPIVH is still controversial. Hematoma evacuation under a microscope or an endoscope, EVD, LD and a combination of EVD and LD could be surgical options for the treatment of IPIVH patients. The outcomes for IPIVH patients could be relatively favorable with individualized treatment.
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spelling pubmed-50793212016-11-03 A retrospective clinical study of 98 adult idiopathic primary intraventricular hemorrhage cases Guo, Rui Ma, Lu Shrestha, Bal Krishna Yu, Zhiyuan Li, Hao You, Chao Medicine (Baltimore) 7100 The aim of the study is to define the clinical features, risk factors, treatment and prognosis of idiopathic primary intraventricular hemorrhage (IPIVH). We retrospectively collected the data of consecutively admitted patients who were diagnosed and treated for IPIVH in our hospital from January 2010 to December 2014. The clinical information, treatment, and prognosis at the 6-month follow-up were analyzed. Among the 3798 cases of spontaneous intracranial hemorrhage (ICH), 98 IPIVH (2.58%) patients were recruited for the study. The study population consisted of 60 males and 38 females, with an average age (± standard deviation, SD) of 51.20 ± 15.48 years. The initial symptoms were headache (75 cases) and impaired consciousness (23 cases). The surgical treatments included hematoma evacuation under a microscope or an endoscope in 8 cases (8.16%), external ventricular drainage (EVD) in 11 cases (11.22%), lumbar drainage (LD) in 10 cases (10.20%), and a combination of EVD and LD in 11 cases (11.22%). In total, 4 patients died in the hospital (4.08%). At the 6-month follow-up, 73 patients (74.49%) had an improved outcome (modified Rankin scale [mRS] < 3), and 21 patients (21.43%) had a poor outcome (mRS ≥ 3 points) at the end of the 6-month follow-up. IPIVH is rare in clinical practice, and hypertension is the most common risk factor. Furthermore, the treatment of IPIVH is still controversial. Hematoma evacuation under a microscope or an endoscope, EVD, LD and a combination of EVD and LD could be surgical options for the treatment of IPIVH patients. The outcomes for IPIVH patients could be relatively favorable with individualized treatment. Wolters Kluwer Health 2016-10-21 /pmc/articles/PMC5079321/ /pubmed/27759637 http://dx.doi.org/10.1097/MD.0000000000005089 Text en Copyright © 2016 the Author(s). Published by Wolters Kluwer Health, Inc. All rights reserved. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 7100
Guo, Rui
Ma, Lu
Shrestha, Bal Krishna
Yu, Zhiyuan
Li, Hao
You, Chao
A retrospective clinical study of 98 adult idiopathic primary intraventricular hemorrhage cases
title A retrospective clinical study of 98 adult idiopathic primary intraventricular hemorrhage cases
title_full A retrospective clinical study of 98 adult idiopathic primary intraventricular hemorrhage cases
title_fullStr A retrospective clinical study of 98 adult idiopathic primary intraventricular hemorrhage cases
title_full_unstemmed A retrospective clinical study of 98 adult idiopathic primary intraventricular hemorrhage cases
title_short A retrospective clinical study of 98 adult idiopathic primary intraventricular hemorrhage cases
title_sort retrospective clinical study of 98 adult idiopathic primary intraventricular hemorrhage cases
topic 7100
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5079321/
https://www.ncbi.nlm.nih.gov/pubmed/27759637
http://dx.doi.org/10.1097/MD.0000000000005089
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