Recurrent Hypertensive Intracerebral Homorrhage.
- Author:
Hack Gun BAE
1
;
Du Shin JUNG
;
Jae Won DOH
;
Kyeong Seok LEE
;
Il Gyu YUN
Author Information
1. Department of Neurosurgery and Neurology, Soonchunhyang University Chonan Hospital, Chonan, Korea.
- Publication Type:Original Article
- Keywords:
Recurrence;
Hypertensive intracerebral hemorrhage;
Risk factor
- MeSH:
Hemorrhage;
Humans;
Hypertension;
Intracranial Hemorrhage, Hypertensive;
Mortality;
Recurrence;
Risk Factors
- From:Journal of Korean Neurosurgical Society
1999;28(3):335-339
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The purpose of this study is to characterize the recurrence and to investigate the risk factors for the recurrence in the 989 patients who had hypertensive intracerebral hemorrhage between 1989-1995. Fifty-three patients(5.4%) had two episodes of hemorrhage with median interval of 22.3+16.3 months(range, 1.7-71.9 months). The probable risk of recurrent hemorrhage was the highest within two years of the first hemorrhage, being 3.6 % in the first year and 3.5 % in the second year. The sites of the recurrent hemorrhage were different from the initial site in all patients. The common patterns of recurrence were "ganglionic(putamen/caudate nucleus)-thalamic" in 26.8% and "ganglionic-ganglionic in 21.4%. The "lobar-lobar" pattern was noted in only 2 patients, The overall mortality was 28.3%. In patients who had ganglionic-ganglionic pattern, the mortality was significantly inc reased (p<0.005). No recurrent hemorrhage occurred during the regular treatment for hypertension. The only significant tactor for recurrent hemorrhage was the antihypertensive therapy of less than 3 months after the initial attack(p<0.005). Considering lifelong treatment for hypertension, long-term regular control for hypertension will be required to prevent the recurrent hemorrhage.
