Management of intraventricular hemorrhage

Holly Hinson, Daniel F. Hanley, Wendy C. Ziai

Research output: Contribution to journalArticle

44 Scopus citations

Abstract

Brain hemorrhage is the most fatal form of stroke and has the highest morbidity of any stroke subtype. Intraventricular extension of hemorrhage (IVH) is a particularly poor prognostic sign, with expected mortality between 50% and 80%. IVH is a significant and independent contributor to morbidity and mortality, yet therapy directed at ameliorating intraventricular clot has been limited. Conventional therapy centers on managing hypertension and intracranial pressure while correcting coagulopathy and avoiding complications such as rebleeding and hydrocephalus. Surgical therapy alone has not changed the natural history of the disease significantly. However, fibrinolysis in combination with extraventricular drainage shows promise as a technique to reduce intraventricular clot volume and to manage the concomitant complications of IVH.

Original languageEnglish (US)
Pages (from-to)73-82
Number of pages10
JournalCurrent Neurology and Neuroscience Reports
Volume10
Issue number2
DOIs
Publication statusPublished - Mar 2010
Externally publishedYes

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Keywords

  • External ventricular drainage
  • Intracerebral hemorrhage
  • Intraventricular Hemorrhage

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

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