Spontaneous Resolution of an Intraventricular Hematoma

Report of a Case with Recovery

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The ominous prognosis following hemorrhage into the ventricles of the brain has been well documented5–7,9,12,13 since the detailed review of this entity by Sanders in 1881.11 Most intraventricular hemorrhages are reported to be characterized by sudden onset of coma, evidence of severe brainstem function and death.6,7,12 This type of intracranial hemorrhage also has been shown to be a common cause of death in premature infants.9 In contrast to the more common catastrophic picture, intraventricular hematomas may present a less acute course and at times simulate intraventricular tumors.

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    Left vertebral arteriogram, first arterial phase. (Left) Lateral projection (Right) Anterior-posterior projection. The arteriovenous malformation is indicated by the arrow.

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    First pneumoencephalogram. The intraventricular hematoma fills most of the left lateral ventricle. (a) Erect lateral projection. (See also Fig. 2b and c.)

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    Brow-up lateral projection. (c) Brow-up anterior-posterior projection.

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    Second pneumoencephalogram. Six weeks after the first study there is no evidence of the intraventricular hematoma. (Left) Brow-up lateral projection. (Right) Brow-up anterior-posterior projection.

References

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McDonaldJ. V. Midline hematomas simulating tumors of the third ventricle. Neurology196212: 805809.McDonald J. V. Midline hematomas simulating tumors of the third ventricle. Neurology 1962 12: 805–809.

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McNealyD. E. and PlumF. Brainstem dysfunction with supratentorial mass lesions. Arch. Neurol Chicago19627: 1032.McNealy D. E. and Plum F. Brainstem dysfunction with supratentorial mass lesions. Arch. Neurol Chicago 1962 7: 10–32.

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MurtaghF. and BairdR. M. Circumscribed intraventricular hematoma in infants. Associated with craniosynostosis and secondary hydrocephalus. J. Pediat.196159: 351355.Murtagh F. and Baird R. M. Circumscribed intraventricular hematoma in infants. Associated with craniosynostosis and secondary hydrocephalus. J. Pediat. 1961 59: 351–355.

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PatersonJ. H. and McKissockW. A clinical survey of intracranial angiomas with special reference to their mode of progression and surgical treatment. A report of 110 cases. Brain195679: 233266.Paterson J. H. and McKissock W. A clinical survey of intracranial angiomas with special reference to their mode of progression and surgical treatment. A report of 110 cases. Brain 1956 79: 233– 266.

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SteelR. S. The diagnosis of intraventricular haemorrhage. Med. J. Aust.19412: 647649.Steel R. S. The diagnosis of intraventricular haemorrhage. Med. J. Aust. 1941 2: 647–649.

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