A Clinical Analysis of Spontaneous Intracerebral Hemorrhage.
- Author:
Byung Man YOUN
1
;
Jong Sik SUK
;
Duck Young CHOI
;
Kwang She RHIM
Author Information
1. Department of Neurosurgery, College of Medicine, Chung Ang University, Seoul, Korea.
- Publication Type:Original Article
- MeSH:
Age Distribution;
Blood Pressure;
Cerebral Hemorrhage*;
Coma;
Female;
Hematoma;
Hemorrhage;
Humans;
Male;
Prognosis
- From:Journal of Korean Neurosurgical Society
1981;10(1):137-146
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We have experienced 40 cases of spontaneous intracerebral hemorrhage admitted to the Chung Ang University Hospital. We analized the result of the treatment of spontaneous intracerebral hemorrhage and assessed prognostic factors affecting the result of treatment of intracerebral hemorrhage. 1) The age distribution was ranged from 26 to 69 and 67.5% of them were in fourth and fifth decade. The ratio of male to female was about 5:3 and the age of the patients did not significantly influence on the result of operative or non-operative cases(P:0.22 P>0.05). 2) The predilection sites of hemorrhage were basal ganglia(60%) and thalamus(15%). 3) There was a correlation between the conscious status on admission and that of two weeks after admission, not so strong, in the operated cases. I.e., the higher Glasgow Coma Score on admission, the better results two weeks after admission. But such a correlation was not found in the non-operated cases(P:0.5732 P<0.01, P:0.1581 P>0.05). The hemorrhage in the dominant hemisphere had little correlation with the outcome(P:0.5068 P<0.01). 4) The pre or post-operative conscious status appeared to have no correlation with the hematoma volume. The large hematoma not always lead to poor prognosis when it was removed in proper time unless the secondary change of the hematoma did not develop(P:0.4257 P<0.05, P:0.4644 P<0.05). 5) The blood pressure on admission, not his proper pressure, had no correlation with the result two weeks after admission in the operated or non-operated cases(P:4988 P<0.01, P:0.4120 P<0.05). 6) The midline shift on the carotid angiogram had a closed correlation with the conscious status of the operated or non-operated cases in spite of little influence of hematoma volume to the conscious state(2:0.7350 P<0.01, P:0.5377 P<0.01).
