Transcranial Sonography Used as a Valuable Diagnostic Tool for Detecting a Hemoventricle, in an Intensive Care Unit Patient

Abstract

A hemoventricle is a rare and life-threatening condition, characterized by blood accumulating in the brain ventricles. Computed tomography (CT) is commonly used in the diagnosis of hemoventricle. However, the use of CT is limited in the intensive care unit. This has prompted the exploration of alternative imaging techniques. Sonography offers a noninvasive, portable, and cost-effective option for assessing the ventricular system. A case study is presented of a 64-year-old female patient with a ruptured aneurysm who underwent endovascular coiling and the placement of an external ventricular drain. Point-of-care ultrasonography revealed ventricular dilatation that was associated with hyperechoic content and that was consistent with hemoventricle. The CT examination confirmed the diagnosis, and the patient received appropriate treatment. This case highlights the value of sonography as a complementary diagnostic imaging tool in situations where CT may be limited.