Evaluation of intraventricular hemorrhage in pediatric intracerebral hemorrhage.
Publication/Presentation Date
4-1-2012
Abstract
Previous studies of pediatric intracerebral hemorrhage have investigated isolated intraparenchymal hemorrhage. The authors investigated whether detailed assessment of intraventricular hemorrhage enhanced outcome prediction after intracerebral hemorrhage. They prospectively enrolled 46 children, full-term to 17 years, median age 2.7 years, with spontaneous intraparenchymal hemorrhage and/or intraventricular hemorrhage. Outcome was assessed with the King's Outcome Scale for Childhood Head Injury. Twenty-six (57%) had intraparenchymal hemorrhage, 10 (22%) had pure intraventricular hemorrhage, and 10 (22%) had both. There were 2 deaths, both with intraparenchymal hemorrhage and intraventricular hemorrhage volume ≥4% of total brain volume. Presence of intraventricular hemorrhage was not associated with poor outcome, but hydrocephalus showed a trend (P = .09) toward poor outcome. In receiver operating characteristic curve analysis, combined intraparenchymal hemorrhage and intraventricular hemorrhage volume also showed a trend toward better outcome prediction than intraparenchymal hemorrhage volume alone. Although not an independent outcome predictor, future studies should assess intraventricular hemorrhage qualitatively and quantitatively.
Volume
27
Issue
4
First Page
526
Last Page
531
ISSN
1708-8283
Published In/Presented At
Kleinman, J. T., Beslow, L. A., Engelmann, K., Smith, S. E., Licht, D. J., Ichord, R. N., & Jordan, L. C. (2012). Evaluation of intraventricular hemorrhage in pediatric intracerebral hemorrhage. Journal of child neurology, 27(4), 526–531. https://doi.org/10.1177/0883073811422272
Disciplines
Medicine and Health Sciences | Pediatrics
PubMedID
22068828
Department(s)
Department of Pediatrics
Document Type
Article