ABSTRACT:
This case report describes a 10-year-old boy with isolated PIVH in the
fourth ventricle, shedding light on its clinical presentation and
management challenges. The patient presented with headache, vomiting,
and altered sensorium, and was subsequently diagnosed with obstructive
hydrocephalus due to intraventricular bleeding. Emergency External
Ventricular Drain (EVD) insertion was performed, followed by
ventriculoperitoneal shunt placement, resulting in a favorable outcome.
The etiology of PIVH in children differs from that in adults, with
arteriovenous malformations, Moya Moya disease, and aneurysms being
commonly implicated causes. Management strategies for pediatric PIVH are
challenging due to limited research, but EVD placement and surgical
interventions have shown promise.
KEYWORDS: Pediatric Intraventricular hemorrhage,
Pediatric Neurosurgery, External Ventricular Drain, Ventriculoperitoneal
Shunt