Intraventricular hemorrhage (IVH) is a relatively commonly encountered problem in neurosurgical practice. The underlying causes could include hypertension, arteriovenous malformations (AVM), angiomas, trauma, tumors, aneurysms and moyamoya disease. Truly idiopathic intraventricular aneurysms (IVA) are rare. A high index of suspicion needs to be maintained since, with the appropriate treatment, the outcome is generally good. We report the case of a 14-year-old boy who presented with sudden onset headache and vomiting. CT angiogram pointed to the possibility of an IVA. This was confirmed by MRI with three-dimensional constructive interference in steady state (CISS-3D) sequences and digital subtraction angiography. The patient underwent microsurgical excision of the aneurysm and is doing well on follow-up. Idiopathic IVA can present with IVH at any age. MRI with CISS-3D and MR angiography would be the imaging modality of choice since it can also rule out other causes of intraventricular bleeding such as tumors and AVM. These lesions could be managed effectively by microsurgical excision/clipping. The necessity of investigating every patient who presents with IVH is debatable.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1159/000346264 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Incidence of Communicating Hydrocephalus Following Intraventricular Hemorrhage Among Adult Patients Treated at a Hospital in Jeddah, Saudi Arabia: A Retrospective Study.
Cureus
January 2025
Department of Neurosurgery, King Abdulaziz University Hospital, Jeddah, SAU.
Introduction Intraventricular hemorrhage is a severe condition caused by bleeding within the brain ventricles. It is often due to trauma, tumors, vascular malformation, aneurysm, oxygen deprivation, or idiopathic. A common complication associated with intraventricular hemorrhage is hydrocephalus, which is the accumulation of cerebrospinal fluid in the ventricles.
View Article and Find Full Text PDFAssessment of the efficacy and safety of neuroendoscopic procedures for intracranial pathologies: A single-centre retrospective study with 318 intracranial endoscopic procedures.
Brain Spine
November 2024
Department of Neurosurgery, Heidelberg University Hospital, Heidelberg, Germany.
Introduction: Neuroendoscopy has become a well-established procedure for treating various intracranial conditions.
Research Question: We evaluated the advantages of that technique, with focus on adverse events.
Material And Methods: Retrospective analysis included all patients who underwent neuroendoscopic procedures between January 2017 and December 2023.
Non-invasive assessment of intracranial pressure through the eyes: current developments, limitations, and future directions.
Front Neurol
October 2024
Vision Science Group (Orthoptics), Faculty of Health, UTS, Sydney, NSW, Australia.
Detecting and monitoring elevated intracranial pressure (ICP) is crucial in managing various neurologic and neuro-ophthalmic conditions, where early detection is essential to prevent complications such as seizures and stroke. Although traditional methods such as lumbar puncture, intraparenchymal and intraventricular cannulation, and external ventricular drainage are effective, they are invasive and carry risks of infection and brain hemorrhage. This has prompted the development of non-invasive techniques.
View Article and Find Full Text PDFNon-invasive estimation of cerebrospinal fluid pressure in idiopathic intracranial hypertension: magnetic resonance imaging analysis of optic nerve and eyeball.
Acta Neurol Belg
August 2024
Department of Radiology, Faculty of Medicine, Bezmialem Foundation University, Istanbul, Turkey.
Purpose: Invasive methods such as lumbar puncture and intraventricular catheters are commonly used to measure intracranial pressure (ICP). This study aims to develop quantitative and non-invasive techniques to measure ICP in patients with Idiopathic Intracranial Hypertension (IIH) using magnetic resonance imaging (MRI) findings.
Methods: MRI data obtained from 50 patients with IIH and 30 age- and sex- matched controls were analyzed and optic nerve sheath diameter (ONSD), eyeball transverse diameter (ETD) and optic nerve diameter (OND) were measured.
Pericardial Calcification: An Uncommon Case with Intraventricular Extension.
Tomography
June 2024
Subdirección de Enseñanza e Investigación, Hospital Regional de Alta Especialidad de la Peninsula de Yucatan IMSS-BIENESTAR, Merida 97130, Mexico.
Article Synopsis
- An 80-year-old man with a history of heart issues presented with shortness of breath, revealing decreased heart sounds and irregular rhythms during the exam.
- Advanced imaging techniques showed pericardial calcification, leading to a diagnosis of constrictive pericarditis, likely idiopathic but possibly related to his previous heart conditions.
- While surgery (pericardiectomy) is an option for severe symptoms, doctors should also consider the patient's preferences for less invasive treatments, including rehabilitation strategies for managing symptoms.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!