Martí-Fàbregas J, Piles S, Guardia E, Martí-Vilalta J L
Department of Neurology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
J Neurol. 1999 Apr;246(4):287-91. doi: 10.1007/s004150050348.
The clinical features, etiology, and neurological outcome in patients with primary intraventricular hemorrhage (PIVH) have rarely been reported. We retrospectively reviewed the clinical data, complementary examinations, outcome, computed tomography (CT) blood amount, and ventricle size of 13 patients (mean age 60 years, five men). We defined PIVH as hemorrhage detected by CT in the ventricular system only. The major symptoms included headache (n = 13), decreased level of consciousness (n = 9), and nausea/vomiting (n = 7). The cause was unknown in five patients; and was associated with arterial hypertension in five, vascular malformations in two, and tumor in one, although arteriography was performed in only five patients. Outcomes were death in three, asymptomatic in six, mild disability in three, and moderate disability in one. Prognosis was not related to clinical or CT data. Clinical features can suggest the diagnosis of PIVH, but cerebral CT is required for confirmation.
原发性脑室内出血（PIVH）患者的临床特征、病因及神经学转归鲜有报道。我们回顾性分析了13例患者（平均年龄60岁，5例男性）的临床资料、辅助检查、转归、计算机断层扫描（CT）出血量及脑室大小。我们将PIVH定义为仅在脑室系统内通过CT检测到的出血。主要症状包括头痛（n = 13）、意识水平下降（n = 9）和恶心/呕吐（n = 7）。5例患者病因不明；5例与动脉高血压有关，2例与血管畸形有关，1例与肿瘤有关，尽管仅5例患者进行了动脉造影。转归情况为3例死亡，6例无症状，3例轻度残疾，1例中度残疾。预后与临床或CT数据无关。临床特征可提示PIVH的诊断，但确诊需要进行脑部CT检查。
