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Pediatric primary intraventricular hemorrhage: A case report

Abstract

Background: Cerebrovascular disorders, particularly intraventricular hemorrhage (IVH) are very rare in children. The most common cause of IVH in the pediatric population is arteriovenous malformation (AVM). The approach for diagnostic evaluation of IVH in pediatrics is more difficult compared to adults due to the low incidence (2-3/100,000 children). In recent years, early detection of pediatric IVH can be done with the use of more extensive imaging modalities such as computed tomography (CT), magnetic resonance imaging (MRI), or digital subtraction angiography (DSA).

Case presentation: A 9-year-old girl was referred from a hospital in Banjarnegara with a diagnosis of IVH and hydrocephalus of unknown etiology. The patient came with complaints of headache, vomiting, and focal seizures for 10 minutes. Non-contrast head CT scan showed a left lateral intraventricular hematoma with a volume of 22.8 ml. Laboratory results were within normal limits. The surgical procedure of immediate insertion of ventriculoperitoneal shunt was performed with the indication of hydrocephalus. The patient's condition improved after 10 days of treatment.

Conclusion: Primary IVH due to AVM in children is a rare case. Both CTA and DSA examination should be considered for early detection of endovascular intervention that can prevent recurrent bleeding and reduce mortality

Keywords: case report, hydrocephalus, pediatric, ventricular hemorrhage

How to Cite

Musa, I. P. B., & Azkia, E. S. (2024). Pediatric primary intraventricular hemorrhage: A case report. Indonesian Journal of Neurosurgery, 7(1), 16–17. https://doi.org/10.15562/ijn.v7i1.256

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Irse Priyaganda Bani Musa
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IJN Journal


Ema Shofiana Azkia
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IJN Journal