Nghiên cứu đặc điểm hình ảnh cắt lớp vi tính trong chẩn đoán chảy máu não thất

The role of CT-Scanner in diagnosis of intraventricle hemorrhage

SUMMARY

Objective: To describe the feature of intraventricular hemorrhage (IVH) image in CT scanner and beginning describe some reasons related to IVH in adults.

Methods: In a cross - sectional using quantitative methods, we chose 52 patients who definitive diagnosed IVH by CT scan in Bach Mai hospital from August/2014 to September/2015.

Results: The most common location hematoma in primary parenchyma is hippocampal central gray (55.55%), the most common location of IVH is occipital horn ventricular, the more greater hematoma size, the more high risk of poor prognosis, the more higher level of IVH, the high risk of poor prognosis. In people over 50 years old, the most common causes of IVH is hypertension and hypertension coordinate with other causes (51%),while people under 50 years old, they usually caused by vascular abnormalities (30%), the main causes of thalamus lobe bleeding and hippocampal central gray bleeding is hypertension (25%), lobe of brain bleeding caused by aneurysm (42.86%).

Conclusion: When patients are diagnosed stroke, they must be take CT scanner image immediately, when the results showed IVH image, they must be take cerebrovascular CT scanner with multiple array receiver, with intravenous injection of contrast dye to initially find the causes.

Key words: CT scanner, intraventricular hemorrhage, cause.