Intraventricular Hemorrhage

Expansion of ICH to the ventricles is associated with poor outcome. This phenomenon was initially observed in descriptive studies, which noted that IVH was associated with larger intra-parenchymal hemorrhage size and, therefore, could not determine the relative importance of these factors in affecting outcome (72,73). Subsequent multivariate analyses confirmed the independent contribution of the volume of IVH to poor outcome (35,58,65). As with hydrocephalus, the value of ventriculostomy alone in improving prognosis is unclear, but the use of intraven-tricular recombinant tissue plasminogen activator results in more rapid clearance of blood and may improve outcome (74).

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