Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Sudden Migration of a Thalamic Hemorrhage into the Ventricles

  • Hwang, Jae-Chan (Department of Neurosurgery, College of Medicine, Soonchunhyang University) ;
  • Cho, Sung-Jin (Department of Neurosurgery, College of Medicine, Soonchunhyang University) ;
  • Park, Hyung-Ki (Department of Neurosurgery, College of Medicine, Soonchunhyang University) ;
  • Chang, Jae-Chil (Department of Neurosurgery, College of Medicine, Soonchunhyang University)
  • Received : 2009.02.17
  • Accepted : 2010.01.06
  • Published : 2010.03.28
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Abstract

Spontaneous intracerebral hemorrhage (ICH) is a common condition that often leads to death or disability. Accurate prediction of the outcome and decisions regarding the treatment of ICH patients are important issues. We report a case of thalamic hemorrhage with an intraventricular hemorrhage that was suddenly migrated into the third and fourth ventricles in its entirety 8 hours after symptom onset. To our knowledge, this case is the first report of spontaneous migration of thalamic ICH into ventricles, and we suggest a possible mechanism for this case with a brief review of the literature.

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References

  1. Ahn CS, Lee SK, Kim HS, Kang MH, Song MY, Kang DS : Surgical outcome of spontaneous intracerebral hemorrhage in less than stuporous status. J Korean Neurosurg Soc 35 : 290-296, 2004
  2. Broderick JP, Adams HP Jr, Barsan W, Feinberg W, Feldmann E, Grotta J, et al : Guidelines for the management of spontaneous intracerebral hemorrhage : a statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association. Stroke 30 : 905-915, 1999 https://doi.org/10.1161/01.STR.30.4.905
  3. Broderick JP, Brott TG, Duldner JE, Tomsick T, Huster G : Volume of intracerebral hemorrhage. A powerful and easy-to-use predictor of 30-day mortality. Stroke 24 : 987-993, 1993 https://doi.org/10.1161/01.STR.24.7.987
  4. Daverat P, Castel JP, Dartigues JF, Orgogozo JM : Death and functional outcome after spontaneous intracerebral hemorrhage. A prospective study of 166 cases using multivariate analysis. Stroke 22 : 1-6, 1991 https://doi.org/10.1161/01.STR.22.1.1
  5. Diringer MN, Edwards DF, Zazulia AR : Hydrocephalus : a previously unrecognized predictor of poor outcome from supratentorial intracerebral hemorrhage. Stroke 29 : 1352-1357, 1998 https://doi.org/10.1161/01.STR.29.7.1352
  6. Franke CL, van Swieten JC, Algra A, van Gijn J : Prognostic factors in patients with intracerebral haematoma. J Neurol Neurosurg Psychiatry 55 : 653-657, 1992 https://doi.org/10.1136/jnnp.55.8.653
  7. Gebel JM Jr, Jauch EC, Brott TG, Khoury J, Sauerbeck L, Salisbury S, et al. : Natural history of perihematomal edema in patients with hyperacute spontaneous intracerebral hemorrhage. Stroke 33 : 2631-2635, 2002 https://doi.org/10.1161/01.STR.0000035284.12699.84
  8. Gebel JM Jr, Jauch EC, Brott TG, Khoury J, Sauerbeck L, Salisbury S, et al. : Relative edema volume is a predictor of outcome in patients with hyperacute spontaneous intracerebral hemorrhage. Stroke 33 : 2636-2641, 2002 https://doi.org/10.1161/01.STR.0000035283.34109.EA
  9. Hallevy C, Ifergane G, Kordysh E, Herishanu Y : Spontaneous supratentorial intracerebral hemorrhage. Criteria for short-term functional outcome prediction. J Neurol 249 : 1704-1709, 2002 https://doi.org/10.1007/s00415-002-0911-1
  10. Hayashi M, Handa Y, Kobayashi H, Kawano H, Nozaki J, Hirose S : Prognosis of intraventricular hemorrhage due to hypertensive hemorrhagic cerebrovascular disease. Zentralbl Neurochir 49 : 101-108, 1988
  11. Leira R, Davalos A, Silva Y, Gil-Peralta A, Tejada J, Garcia M, et al. : Early neurologic deterioration in intracerebral hemorrhage : predictors and associated factors. Neurology 63 : 461-467, 2004 https://doi.org/10.1212/01.WNL.0000133204.81153.AC
  12. Lisk DR, Pasteur W, Rhoades H, Putnam RD, Grotta JC : Early presentation of hemispheric intracerebral hemorrhage : prediction of outcome and guidelines for treatment allocation. Neurology 44 : 133-139, 1994 https://doi.org/10.1212/WNL.44.1.133
  13. Mendelow AD, Gregson BA, Fernandes HM, Murray GD, Teasdale GM, Hope DT, et al. : Early surgery versus initial conservative treatment in patients with spontaneous supratentorial intracerebral haematomas in the International Surgical Trial in Intracerebral Haemorrhage (STICH) : a randomised trial. Lancet 365 : 387-397, 2005 https://doi.org/10.1016/S0140-6736(05)70233-6
  14. Nieuwkamp DJ, de Gans K, Rinkel GJ, Algra A : Treatment and outcome of severe intraventricular extension in patients with subarachnoid or intracerebral hemorrhage : a systematic review of the literature. J Neurol 247 : 117-121, 2000 https://doi.org/10.1007/PL00007792
  15. Qureshi AI, Tuhrim S, Broderick JP, Batjer HH, Hondo H, Hanley DF : Spontaneous intracerebral hemorrhage. N Engl J Med 344 : 1450-1460, 2001 https://doi.org/10.1056/NEJM200105103441907
  16. Reithmeier T, Löhr M, Pakos P, Ketter G, Ernestus RI : Relevance of ICP and ptiO2 for indication and timing of decompressive craniectomy in patients with malignant brain edema. Acta Neurochir (Wien) 147 : 947-951; discussion 952, 2005 https://doi.org/10.1007/s00701-005-0543-1
  17. Schwarz S, Hafner K, Aschoff A, Schwab S : Incidence and prognostic significance of fever following intracerebral hemorrhage. Neurology 54 : 354-361, 2000 https://doi.org/10.1212/WNL.54.2.354
  18. Tuhrim S, Dambrosia JM, Price TR, Mohr JP, Wolf PA, Heyman A, et al. : Prediction of intracerebral hemorrhage survival. Ann Neurol 24 : 258-263, 1988 https://doi.org/10.1002/ana.410240213
  19. Yuzawa H, Higano S, Mugikura S, Umetsu A, Murata T, Nakagawa A, et al. : Pseudo-subarachnoid hemorrhage found in patients with postresuscitation encephalopathy : characteristics of CT findings and clinical importance. AJNR Am J Neuroradiol 29 : 1544-1549, 2008 https://doi.org/10.3174/ajnr.A1167
  20. Zuccarello M, Brott T, Derex L, Kothari R, Sauerbeck L, Tew J, et al. : Early surgical treatment for supratentorial intracerebral hemorrhage : a randomized feasibility study. Stroke 30 : 1833-1839, 1999 https://doi.org/10.1161/01.STR.30.9.1833