• S Tuhrim, D R Horowitz, M Sacher, and J H Godbold.
• Department of Neurology, Mount Sinai School of Medicine, New York, NY 10029, USA.
• Crit. Care Med. 1999 Mar 1;27(3):617-21.

ObjectiveTo determine the prognostic significance and pathophysiologic implication of intraventricular extension of supratentorial intracerebral hemorrhage.DesignProspective study.SettingAcute stroke and neurointensive care units of a tertiary care hospital.PatientsOne hundred twenty-nine patients with supratentorial intracerebral hemorrhage, managed medically.InterventionsTwo patients had intraventricular catheters placed for external drainage. No patient received thrombolytics or surgical evacuation of clot.Measurements And Main ResultsOf the 129 patients, 47 had intraventricular extension of their hemorrhages. These patients had larger intraparenchymal hemorrhages (36.6 cm3 vs. 15.0 cm3) and lower initial Glasgow Coma Scale scores (mean, 9.6 vs. 13.7). Their 30-day mortality rate was 43% compared with only 9% among those without ventricular extension. Univariate and multivariate logistic regression modeling was used to assess the prognostic significance of various measures of intraventricular hemorrhage. The presence of intraventricular hemorrhage, the number of ventricles containing blood, fourth ventricular blood, and intraventricular hemorrhage volume were each related to 30-day mortality in a univariate analysis, but only intraventricular hemorrhage volume contributed significantly to outcome prediction in the presence of Glasgow Coma Scale score.ConclusionsVolume of intraventricular hemorrhage is an important determinant of outcome in supratentorial intracerebral hemorrhage.

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