Surgical Treatment of Para- and Intraventricular Vascular Lesions Complicated by Intraventricular and Periventricular Hemorrhage

Abstract

During the last 10 years (1975–1984), 31 patients with clinical manifestations of compressive bleeding in brain ventricles and caused by A-V malformations, atypical location of aneurysms, and hemangioblastic tumors with bleeding in brain ventricles, were surgically treated.

The main characteristic of our patients is that all of them are young children and adults up to 25 years of age.

The hospital admission of all patients was accompanied by severe disorder of brain functions, unconsciousness with palsy and fast evolution.

The diagnosis of the pathologic process and the compressive bleeding had to be performed as soon as possible after the hospital admission, because of the compressive bleeding.

The analysis of the surgically treated 31 patients indicates that the patients had vascular benign pseudotumorous or tumorous processes without any symptoms in the preclinical phase or the symptoms were almost unnoticed (compensated hydrocephalus, arterial hypertension, epilepsy and etc.).

The surgical treatment is indispensable, the results especially those in benign intravascular processes complicated with bleeding and compressive, are not always encouraging but we are obliged to continue with surgical activity based on our experience and modern equipment.