Recurrent Spontaneous Intracerebral Hemorrhage.
- Author:
Chang Ju LEE
1
;
Hyeon Song KOH
;
Seung Won CHOI
;
Seon Hwan KIM
;
Jin Young YEOM
;
Youn KIM
Author Information
1. Department of Neurosurgery, College of Medicine, Chungnam National University, Daejeon, Korea.
- Publication Type:Original Article
- Keywords:
Spontaneous intracerebral hemorrhage;
Recurrence;
Hypertension
- MeSH:
Blood Pressure;
Brain;
Cerebral Angiography;
Cerebral Hemorrhage*;
Emergency Service, Hospital;
Hemorrhage;
Humans;
Hypertension;
Magnetic Resonance Imaging;
Medical Records;
Prognosis;
Recurrence;
Retrospective Studies;
Survival Rate
- From:Journal of Korean Neurosurgical Society
2005;38(6):425-430
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: Recently, the survival rate and prognosis of spontaneous intracerebral hemorrhage(S-ICH) has improved, and their enhanced survival has become associated with a consequent rise in the recurrence of S-ICH. The aim of this study is to improve the prevention of recurrent S-ICH. METHODS: Between January 1999 and March 2004, we experienced 48 cases of recurrence. We classified the patients into the two groups; a double ICH group and a triple ICH group. We investigated their brain CTs, MRIs, cerebral angiographies, and medical records, retrospectively. RESULTS: Majority of patients had the intervals at least 12 months, and most of patients underwent conservative treatment. The most common hemorrhage pattern of recurrence was ganglionic-ganglionic (basal ganglia-basal ganglia), and the second attack was contralateral side of the first attack in a large percentage of all patients. Prognosis of patients was worsened in recurrent attack. Nearly all patients had medical history of hypertension, and most patients have taken antihypertensive medication at the arrival of emergency room. CONCLUSION: In treating hypertension for S-ICH patients, we stress that blood pressure must be thoroughly controlled over a long period of time.
