Morphoclinical study of intracerebral haemorrhage with intraventricular extension.
OBJECTIVE
The study is an integrated assessment of clinical, image and morphological parameters in severe intracerebral haemorrhages (ICH) complicated with intraventricular extension (IVE).


METHODS
The studied group had 93 cases of patients with ICH and IVE who were hospitalized in the Emergency County Hospital of Craiova and died during hospitalization. The parameters evaluated were clinical (relation with the seasons, age, sex, arterial blood pressure, the motor deficit, degree of coma, Glasgow score at admission and medical care) and morphological (the sites of the intraparenchymal haematoma and IVE, the size of the intraparenchymal haematoma, the presence of the mass effect, perilesional oedema and subarachnoid effusion). The latter were assessed on CT films and during autopsy.


RESULTS
The presence of IVE as a complication of ICH showed a predilection for cold seasons, especially autumn. From the 93 studied cases 51 were men and 42, women. 52.6% of the patients were in the fifth and sixth life decade. Almost 80% of the patients had IIIrd stage arterial hypertension at admission, over 80% motor deficits and almost 60% Glasgow scores lower than 6. The ventricular effusion involved at least one of the lateral ventricles. The hematomas had huge dimensions as compared to hosting encephalic structures, in lobar sites involving more than one lobe. Other risk factors as mass effect and perilesional oedema were constantly present.


CONCLUSIONS
The association of IVE with other independent risk factors such as hypertension, low Glasgow scores volume of intraventricular bleeding, dimensions of haemorrhagic foci, presence of mass effect and perilesional oedema results in the death of patient despite any sustained therapeutic intervention.
Zaharia
B
B
Department of Pathology, University of Medicine and Pharmacy of Craiova. zb@umfcv.ro
Pleşea
I E
IE
Georgescu
C C
CC
Cameniţă
A
A
Georgescu
Claudia Valentina
CV
Enache
S D
SD
Tnovici
Mihaela
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002533:Cerebral Angiography; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging / Q000401:mortality / Q000473:pathology*; D002552:Cerebral Ventricles / Q000098:blood supply* / Q000473:pathology*; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies; D012621:Seasons; D016019:Survival Analysis; D014057:Tomography, X-Ray Computed