MÔ TẢ ĐẶC ĐIỂM LÂM SÀNG, HÌNH ẢNH HỌC BỆNH NHÂN XUẤT HUYẾT NÃO-NÃO THẤT CẤP TẠI KHOA CẤP CỨU BỆNH VIỆN BẠCH MAI

Abstract

Intracranial-intraventricular heamorrhage is a severe manifestation among the stroke group with high mortality and mobidity rate. The predictors for mortality or poor outcome in patient with intraventricular hemorrhage is very important. We conducted the study on the patient with intraventricular hamorrhage to describe the clinical scenario and imaging picture to predict the progress of the complication. The result showed the mean age was 60. The onset symptom was coma with 82% (56,8% of the patient had the GCS under 8 point), hemiplegia of 29.5%, headache 10,4% and seizure of 7.7% on pure intracventricular haemorrhage. The acute ventricular hydroencephalus complication was 46.3%. The most common cause of intraventricular haemorrhage was aneusysm rupture 47.1%, hypertensive 17.7% and iatrogenic of 23.4%. Conclusion: the combination of clinical symptoms and radiology study should be formed to diagnose and monitor the progress of the intraventricular bleeding patient.