CONCLUSION:
PIVH in pediatric patients remains a challenging condition due to its rarity and limited research on this specific population. This case report adds to the existing knowledge on pediatric primary intraventricular hemorrhage (PIVH) by providing insights into the clinical presentation, management approach, and favorable outcome in a pediatric patient, highlighting the potential efficacy of a combined strategy involving external ventricular drain (EVD) placement and subsequent ventriculoperitoneal shunting. However, further research is warranted to better understand the etiology, prognostic factors, and optimal management strategies for pediatric PIVH, enabling improved outcomes for affected children.