chronic encapsulated intraventricular hematoma in a pediatric patient: case report

To our knowledge, only 5 cases of chronic encapsulated intraventricular hematoma (CEIVH) have been reported in 4 papers.2,6,13,23Of these, only 1 case has occurred in a child; however, its report dates back to 1955.2The etiology of these lesions is not well defined.

Full Answer

What are the symptoms of a 14 year old boy having a headache?

A 14-year-old, previously healthy male presented with 2 days of right-sided headache, blurred vision, nausea, and vomiting. He had a normal neurological exam. No papilledema was noted. The patient was having intermittent high fevers (> 39°C) while in the hospital prior to surgery. Full infectious workup was negative, and the significance of the fevers was unclear. There was no history of trauma preceding his presentation. He had no personal or family history of any coagulopathy or bleeding diathesis. His laboratory workup, which included a complete blood count, basic metabolic panel, and standard coagulation tests, was unremarkable. Given the exclusion of any personal identifying information pertaining to this case, specific permission from this patient was neither required nor sought. No institutional review board approval was indicated to produce this case report and literature review.

Is CEIH a benign mass?

Both CEIH and CEIVH are benign intracranial masses that are extremely rare in pediatric patients and have a presentation that depends on lesion location and neuroimaging findings, which are nonspecific. Resection is recommended in symptomatic patients.

Abstract

Chronic encapsulated intraventricular hematoma (CEIVH) is a rare, intraventricular, nonneoplastic mass lesion that can become symptomatic from mass effect or obstructive hydrocephalus.

References (31)

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