Primary Intraventricular Hemorrhage in Adult - An Analysis of 24 Cases

成人之原發性腦室出血－24病例之分析

張迪生(Dyi-Sheng Chang) ； 林志隆(Chih-Lung Lin) ； 洪純隆(Shen-Long Howng)

《The Kaohsiung Journal of Medical Sciences》 14卷10期 (1998/10) Pp. 633-638

https://doi.org/10.6452/KJMS.199810.0633

摘要

成人之原發性腦室出血相當罕見，佔所有顱內出血的3.1%。對於此症，我們必須找出是否由於血管異常如動靜脈畸形或動脈瘤所造成，如此方能施予適當的治療以避免再度出血。高雄醫學院腦神經外科於1991至1996年間，共有24位病人，共有24位病人，以電腦斷層診斷為腦室出血，其中18位有施予腦上管攝影，8人有腦血管異常(5人為動靜脈畸形，3人為動脈瘤)；45歲以下，7人中5人有血管異常佔72%；45歲以上，11人中3人有血管異常佔27%。基於此結果我們建議凡45歲以下原發性腦室出血之病患，宜接受腦血管攝影檢查。

並列摘要

Primary intraventricular hemorrhage in adults is rare, comprising only about 3.1% of all intracranial hemorrhage. One of the major management tasks is to find out whether the hemorrhage is secondary to underlying structural vascular abnormality, such as arteriovenous malformation (AVM)and aneurysm, so that appropriate treatment can be carried out to prevent rebleeding. We retrospectively analyzed 24 patients with computerized tomography findings of intraventricular hemorrhage in our hospital from 1991 to 1996. Cerebral angiography was performed in eighteen patients. Eight patients (57%) had positive angiographic findings (five were AVM and three were aneurysm). The angiographic yield was five of seven patients (72%)younger than 45 years of age and three of eleven (27%)older than 45 years of age. On the basis of our results, we suggest that cerebral angiography should be considered for all primary intraventricular hemorrhage patients who are younger than 45 years old.

並列關鍵字

intraventricular hemorrhage