Sudden Death Due to Primary Intraventricular Hemorrhage: Report of Two Cases. Issue 5 (21st February 2019)

• Record Type: Journal Article
• Authors: Duan, Yijie; Luan, Hanghang; Yang, Yi; Li, Wenhe; Zhang, Lin; Liu, Qian; Zhou, Yiwu
• Is Part Of: Journal of forensic sciences. Volume 64:Issue 5(2019)
• Page Start: 1548
• Page End: 1550
• Publication Date: 2019-02-21
• Subjects: forensic science -- forensic pathology -- primary intraventricular hemorrhage -- brain arteriovenous malformation -- sudden death -- immunohistochemistry -- Elastic‐Van Gieson stain; Medical jurisprudence -- Periodicals; Forensic sciences -- Periodicals; Forensic Medicine -- Periodicals; Gerechtelijke geneeskunde; Gerechtelijke chemie; Gerechtelijke psychiatrie; 363.2505
• DOI: 10.1111/1556-4029.14032
• Languages: English
• ISSNs: 0022-1198

Abstract

Abstract: Primary intraventricular hemorrhage (PIVH) is a rare type of stroke defined as bleeding within the ventricles of the brain without any associated parenchymal hemorrhage. Here, we reported two cases of sudden death due to PIVH. One of the patients was found dead under a highway bridge without witnesses, and the other patient was hospitalized with hemorrhage in the ventricular system, as revealed by a head computed tomography scan. In these two patients, autopsy and macroscopic examination only showed hemorrhages in the ventricular system without any traumatic brain injury or other intraparenchymal hemorrhage. The sources of bleeding for both patients were ultimately confirmed as ruptured brain arteriovenous malformations located in the subventricular zone. We reported these cases to broaden our understanding of sudden death associated with PIVH, especially when caused by brain arteriovenous malformation. We also summarized the essential details of the diagnoses and available technical methods for PIVH cases.