Neurocritical Care

, Volume 7, Issue 3, pp 257–259 | Cite as

Vasospasm and cerebral infarction following isolated intraventricular hemorrhage

  • Elizabeth Gerard
  • Jennifer A. Frontera
  • Clinton B. Wright
Brief Communication

Abstract

Introduction

Cerebral arterial vasospasm following aneurysmal subarachnoid hemorrhage (SAH) is an important cause of delayed neurologic deterioration. Vasospasm following isolated intraventricular hemorrhage (IVH) is less common. Accepted predictors of vasospasm following SAH include poor Hunt-Hess grade, elevated transcranial Doppler velocities, and the thickness of cisternal blood on neuroimaging [1, 2]. The role of intraventricular hemorrhage in vasospasm is more controversial.

Methods

Case report and review of the literature.

Results

A 41-year-old woman developed symptomatic delayed vasospasm 10 days following isolated IVH due to the rupture of an arteriovenous malformation (AVM).

Conclusion

Intraventricular hemorrhage can independently cause significant delayed vasospasm. Possible mechanisms are described.

Keywords

Vasospasm Intraventricular hemorrhage Arteriovenous malformation Delayed cerebral ischemia Stroke Fisher grade 

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Copyright information

© Humana Press Inc. 2007

Authors and Affiliations

  • Elizabeth Gerard
    • 1
  • Jennifer A. Frontera
    • 1
  • Clinton B. Wright
    • 1
  1. 1.Division of Stroke and Critical Care Neurology, Neurological Institute, College of Physicians and SurgeonsColumbia UniversityNew YorkUSA

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