Advertisement

Child's Nervous System

, Volume 1, Issue 1, pp 18–23 | Cite as

Acute traumatic intraventricular hemorrhage in children

  • Shiro Kobayashi
  • Shozo Nakazawa
  • Toshibumi Otsuka
Original Papers

Abstract

Four cases are reported of acute traumatic intraventricular hemorrhage in children revealed by computed tomography (CT). In most cases, the intraventricular hemorrhage had been produced by severe sagittal impact. All of the children were 7 or less on the Glasgow Coma Scale (GCS) on admission. Three had hemorrhage in all ventricles, and one had an intraventricular hemorrhage in the lateral and fourth ventricles. One of them showed enhancement of the blood-filled ventricles, with the appearance of increased ventricular size, on the contrast enhancement CT. Two children with ventricular dilation died soon after injury, although ventricular drainage had been performed; one child remained in a persistent vegetative state, and the other enjoyed good recovery with conservative therapy. Certain features of acute traumatic intraventricular hemorrhage in children are discussed in relation to this series.

Key words

Head injury Intraventricular hemorrhage Computed tomography 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Aruga T, Kobayashi S, Ohtsuka T, Nishimura N, Honda K (1980) Computed tomography in acute head injuries: experience with contrast enhancement. No To Shinkei 32:723–730Google Scholar
  2. 2.
    Davis KR, Taveras JM, Roberson GH (1977) Computed tomography in head trauma. Semin Roentgenol 12:53–62Google Scholar
  3. 3.
    Dublin AB, French BN, Rennick JM (1977) Computed tomography in head trauma. Radiology 122:365–369Google Scholar
  4. 4.
    Evans JP, Scheinker IM (1945) Histologic studies of the brain following head trauma. I. Post-traumatic cerebral swelling and edema. J Neurosurg 2:306–314Google Scholar
  5. 5.
    Evans JP, Scheinker IM (1946) Histologic studies of the brain following head trauma. II. Post-traumatic petechial and massive intracerebral hemorrhage. J Neurosurg 3:101–103Google Scholar
  6. 6.
    French BN, Dublin AB (1977) The value of computerized tomography (CT) in acute head trauma. AJR 126:765–778 injuries. Surg Neurol 7:171–183Google Scholar
  7. 7.
    Hambleton G, Wigglesworth JS (1976) Origin of intraventricular hemorrhage in the preterm infant. Arch Dis Child 51:651–659Google Scholar
  8. 8.
    Holbourn AHS (1945) The mechanics of brain injuries. Br Med Bull 3:147–149Google Scholar
  9. 9.
    Kobayashi S, Aruga T, Otsuka T, Nishimura N, Honda K, Nakazawa S (1981) Acute traumatic intraventricular hemorrhage. No To Shinkei 33:715–724Google Scholar
  10. 10.
    Koo AH, LaRoque RL (1977) Evaluation of head trauma by computed tomography. Radiology 123:345–350Google Scholar
  11. 11.
    Lee BCP, Grassi AE, Schechner S, Auld PAM (1979) Neonatal intraventricular hemorrhage: a serial computed tomography study. J Comput Assist Tomogr 3:483–490Google Scholar
  12. 12.
    Lindenberg R (1977) Pathology of craniocerebral injuries. Mosby, St Louis, Mo, pp 3063–3064 (Radiology of the skull and brain, vol 3)Google Scholar
  13. 13.
    Merino-de Villasante J, Taveras JM (1976) Computerized tomography (CT) in acute head trauma. AJR 126:765–778Google Scholar
  14. 14.
    Oliff M, Freid AM, Young AB (1978) Intraventricular hemorrhage in blunt head trauma. J Comput Assist Tomogr 2:625–629Google Scholar
  15. 15.
    Peerless SJ, Rewcastle NB (1967) Shear injuries of the brain. Can Med Assoc J 96:577–582Google Scholar
  16. 16.
    Roberson FC, Kishore PRS, Miller JD (1978) The value of serial computerized tomography in the management of severe head injury. Surg Neurol 12:161–167Google Scholar
  17. 17.
    Scheinker IM (1944) Vasoparalysis of the central nervous system: a characteristic vascular syndrome. Significance in the pathology of the central nervous system. Arch Neurol Psychiatry 52:43–56Google Scholar
  18. 18.
    Scott WR, New PFJ, Davis KR, Schnur JA (1974) Computerized axial tomography of intracerebral and intraventricular hemorrhage. Radiology 112:73–80Google Scholar
  19. 19.
    Tsai FY, Huprich JE, Gardner FC, Segall HD, Teal JS (1978) Diagnostic and prognostic implications of computed tomography of head trauma. J Comput Assist Tomogr 2:323–331Google Scholar
  20. 20.
    Unterharnscheidt F (1963) Die gedeckten Schäden des Gehirns. Experimentelle Untersuchungen mit einmaliger, wiederholter und gehäufter stumpfer Gewalteinwirkung auf den Schädel. Springer, Berlin Heidelberg New York, pp 12–102 (Monographien aus dem Gesamtgebiete der Neurologie und Psychiatrie, Heft 103)Google Scholar
  21. 21.
    Volpe JJ (1979) Intracranial hemorrhage in the newborn: current understanding and dilemmas. Clinical review. Neurology 29:632–635Google Scholar
  22. 22.
    Weisberg LA (1979) CT and acute head trauma. Comput Tomogr 3:15–28Google Scholar

Copyright information

© Springer-Verlag 1985

Authors and Affiliations

  • Shiro Kobayashi
    • 1
  • Shozo Nakazawa
    • 1
  • Toshibumi Otsuka
    • 2
  1. 1.Department of NeurosurgeryNippon Medical SchoolTokyoJapan
  2. 2.Department of Critical Care MedicineNippon Medical SchoolTokyoJapan

Personalised recommendations