intraventricular_haemorrhage_flashcards
What is intraventricular haemorrhage (IVH)?
A haemorrhage that occurs into the ventricular system of the brain.
In which patient population is IVH relatively rare?
Adult surgical practice.
With what condition is IVH typically associated in adults?
Severe head injuries.
How does IVH occur in premature neonates?
It may occur spontaneously.
What complication may result from blood clotting and occluding CSF flow in IVH?
Hydrocephalus.
When do the vast majority of IVH cases occur in neonatal practice?
In the first 72 hours after birth.
What is the suggested cause of IVH in neonates?
Birth trauma combined with cellular hypoxia, along with the delicate neonatal CNS.
What is the main approach to treating IVH?
Supportive care.
What therapies have been trialled but not shown benefit for IVH?
Intraventricular thrombolysis and prophylactic CSF drainage.
What is an indication for shunting in IVH?
Hydrocephalus and rising intracranial pressure (ICP).