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Solitary intraventricular hemorrhage without subarachnoid hemorrhage due to aneurysmal rupture: a case report

Seung Soo Kim, Kyeong-O Go, Hyun Park, Kwangho Lee, Gyeong Hwa Ryu, Hye Jin Baek, Seunguk Jung, Chang Hyo Yoon, Young-Seop Park, Soo Hyun Hwang
Journal of Cerebrovascular and Endovascular Neurosurgery 2019, 21 (1): 18-23
31832383
The presence of primary intraventricular hemorrhage (IVH) without vascular lesion is very rare. We experienced solitary IVH without subarachnoid hemorrhage due to aneurysmal rupture in a 58-year-old man treated with coil embolization, which contributed to his good prognosis. After 33 days of hospitalization, he had mild right hemiplegic symptoms remaining, and he was transferred to a rehabilitation institute for further treatment. In cases of primary IVH, computed tomography angiography seems worthwhile for making a differential diagnosis, although the possibility of IVH due to cerebral aneurysmal rupture is very low. Endovascular intervention is a good option for diagnosis and treatment.

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