Clinical features and prognosis of primary intraventricular hemorrhage in the elderly: a single center experience.

Clinical features and prognosis of primary intraventricular hemorrhage in the elderly: a single center experience.

World Neurosurg. 2019 Jan 02;:

Authors: Guo R, Chen R, Yu Z, Tian R, Ren Y, You C, Ma L

Abstract
OBJECTIVE: Primary intraventricular hemorrhage (PIVH) is rare in the aging population and remains a challenge for cerebrovascular surgeons. In the present study, the authors reviewed the patient characteristics, angiographic results, as well as treatments, and determined clinical outcomes in 34 patients over 60 years of age who were treated at West China Hospital between 2010 and 2014.
METHODS: The medical records of elderly patients was queried. The parameters regarding patient demographics, presenting symptoms, treatment modalities, angiographic results, and clinical outcomes were assessed and analyzed.
RESULTS: There were 19 male (55.9%) and 15 female (44.1%) patients, with an average age (± SD) of 67.9 ± 7.7 years in our study. The most common symptoms on presentation were headache (50.0%), followed by disturbance of consciousness (26.5%). Only 5 patients (14.3%) were diagnosed with underlying cerebrovascular etiologies, including Moyamoya disease (5.9%), arteriovenous malformations (2.9%), and aneurysms (5.9%). Idiopathic PIVH was diagnosed in 29 patients (85.7%). Thirteen patients (38.2%) underwent surgical intervention, while 21 patients (61.8%) received conservative treatment. Twelve patients (35.3%) had an unfavorable outcome at discharge and unfavorable was observed in 14 patients (41.2%) at the 3-month follow up. Patients with higher Graeb score might be associated with an unfavorable outcome both in short-time and long-time follow-up.
CONCLUSIONS: Most PIVH patients were diagnosed with idiopathic PIVH in the elderly. Surgical treatment of aging patients should be optimized to improve clinical outcomes. The admission Graeb score were considered to be the independent prognostic factors for both short-term and long-time outcome.

PMID: 30610977 [PubMed - as supplied by publisher]

from A via a.sfakia on Inoreader http://bit.ly/2C8A3Hw