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