Recurrent Spontaneous Intracerebral Hemorrhage
Journal of Korean Neurosurgical Society
; : 425-430, 2005.
Article
Dans En
| WPRIM
| ID: wpr-167833
Responsable en Bibliothèque :
WPRO
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.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Pronostic
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Récidive
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Pression sanguine
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Encéphale
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Imagerie par résonance magnétique
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Angiographie cérébrale
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Hémorragie cérébrale
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Dossiers médicaux
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Taux de survie
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Études rétrospectives
Type d'étude:
Observational_studies
/
Prognostic_studies
Limites du sujet:
Humans
langue:
En
Texte intégral:
Journal of Korean Neurosurgical Society
Année:
2005
Type:
Article