Spontaneous Remission Of An Intraventricular Hemorrhage; Case Report
Journal of Neurosurgery 28(3): March 1968; 277-279
View Original Source →Abstract
We have reported the spontaneous thrombosis of an intracavernous aneurysm of the left internal carotid artery in a 14-month-old boy. Although sudden onset of ophthalmoplegia suggested a temporary carotid cavernous fistula, the abundant collateral blood supply to the brain even in the first angiogram indicated the probable congenital nature of the lesion. (Permission to reproduce case report denied by publisher.)
Case Details
Personal Characteristics
55-year-old hypertensive negro male
Clinical Characteristics
The intraventricular clot was originally demonstrated by pneumoencephalography, and spontaneous lysis was evident in a follow-up air study 2 months later. The patients neurological status progressed from initial hemiplegia, hemihypesthesia and homonymous hemianopsia to mild paresis and sensory deficits 4 months after the ictus.
Remission Characteristics
Spontaneous lysis was evident in a follow-up air study 2 months later
Treatment & Mechanisms
Proposed Remission Mechanisms
Not discussed
Clinical Treatment
No operative therapy was undertaken
Additional Notes
The literature on intraventricular hemorrhage has been reviewed; this case and that of Ojemann and New contrast with the poor prognosis usually given to intraventricular extensions of spontaneous intracerebral hemorrhages. Progression of neurological signs or failure to improve, rather than simply the presence of an intraventricular clot, should determine the need for operative intervention.