Hayashi M, Handa Y, Kobayashi H, Kawano H, Nozaki J, Noguchi Y
Department of Neurosurgery, Fukui Medical School.
Zentralbl Neurochir. 1989;50(3-4):132-7.
The prognosis of intraventricular hemorrhage (IVH) from rupture of intracranial aneurysms was studied in 43 patients admitted to our institution and to Kaga Central Hospital between April 1984 and December 1987. The total number of aneurysmal subarachnoid hemorrhage (SAH) patients admitted during this period was 156, so that 28% of SAH patients had IVH. In this study, the patients were analyzed with respect to IVH grading, volumes of intraventricular and intracerebral hematoma, consciousness level, intracranial pressure (ICP), ventricular dilatation and age. The IVH resulted from aneurysmal rupture of the anterior communicating artery (48%), anterior cerebral artery (distal portion of the anterior communicating artery) (11%), internal carotid artery (21%), middle cerebral artery (25%), and vertebro-basilar artery (14%). The mortality rate in patients with IVH was 33%, a poorer rate than that in patients without IVH (25%). As for morbidity, 44% of the patients with IVH had no or moderate disability, whereas the other 23% had severe disability or were in a persistent vegetative state. On the other hand, there was no or only moderate disability in 63%, and severe disability or a persistent vegetative state in 12% of the patients without IVH.(ABSTRACT TRUNCATED AT 250 WORDS)
1984年4月至1987年12月期间，我们医院和加贺中央医院收治了43例因颅内动脉瘤破裂导致脑室内出血（IVH）的患者，并对其预后进行了研究。在此期间收治的动脉瘤性蛛网膜下腔出血（SAH）患者总数为156例，因此28%的SAH患者伴有IVH。在本研究中，对患者的IVH分级、脑室内和脑内血肿体积、意识水平、颅内压（ICP）、脑室扩张及年龄进行了分析。IVH由前交通动脉动脉瘤破裂所致（48%），大脑前动脉（前交通动脉远端部分）（11%），颈内动脉（21%），大脑中动脉（25%）和椎基底动脉（14%）。IVH患者的死亡率为33%，高于无IVH患者（25%）。至于发病率，44%的IVH患者无残疾或为中度残疾，而另外23%有严重残疾或处于持续性植物状态。另一方面，无IVH患者中63%无残疾或仅有中度残疾，12%有严重残疾或处于持续性植物状态。（摘要截选至250词）
