A Complex Intracerebral Hemorrhage Case Report: Intracerebral Hemorrhage, Intraventricular Hemorrhage, and Hydrocephalus in an Addicted Patient

Mahsa Fadaei; Sina Rahmani; Loghman Barani; Sanaz Zilabi; Behzad Omran AghabararZadeh

doi:10.1016/j.ijscr.2023.108492

A Complex Intracerebral Hemorrhage Case Report: Intracerebral Hemorrhage, Intraventricular Hemorrhage, and Hydrocephalus in an Addicted Patient

Int J Surg Case Rep. 2023 Aug:109:108492. doi: 10.1016/j.ijscr.2023.108492. Epub 2023 Jul 12.

Authors

Mahsa Fadaei¹, Sina Rahmani², Loghman Barani², Sanaz Zilabi², Behzad Omran AghabararZadeh³

Affiliations

¹ Department of Emergency, Imam Khomeini Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
² Department of Neurosurgery, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
³ Department of Neurosurgery, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. Electronic address: dr.behzad.omran1991@gmail.com.

Abstract

Background: Despite progression, the mortality rate following intracerebral hemorrhage (ICH) is still high; only 25 % of subjects achieve functional independence at three months. The survey presents a complex addicted case report with ICH, intraventricular hemorrhage (IVH), and hydrocephalus co-occurrence.

Case presentation: The patient was a 48-year-old man with a history of hypertension and addiction. On admission time, his GCS was 4/15, desperate in response to painful stimulation. There were no traumatic effects on the body. In response to painful stimulation with his right upper limb, he localized the site of pain.

Discussion: According to the function of EVD, it was removed three days after surgical treatment, and the patient was extubated seven days after surgery. On the 13th day after surgery, the patient's GCS increased to 12; the patient was OBEY.

Conclusion: In the current survey, we tried to discuss the management of ICH through a complex case and an inferior prognosis. Our data indicated that with proper interpretation and surgical management of ICH, it is possible to save the survival of ICH patients even in complex situations.

Keywords: Hydrocephalus; ICH; IVH; Intracranial hemorrhages.

Publication types

Case Reports