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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2016
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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. |
format | Online Article Text |
id | pubmed-5079321 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
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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