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Journal of Korean Neurosurgical Society 1988;17(3): 417-426.
Clinical Analysis of Hypertensive Intracerebral Hemorrhage(from Jan. '80 to Sep. '87).
C W Oh, S H Lee, H J Kim, D H Han
Department of Neurosurgery, College of Medicine, Seoul National University, Seoul, Korea.
ABSTRACT
Three hundreds and sixty eight cases of hypertensive intracerebral hemorrhage, which were diagnosed by brain CT scan, were analyzed. Of them, 38 cases were treated conservatively and the other 60 cases were treated operatively. The incidence was highest in the 6th decade for both male and female. The seasonal distribution showed bimodal distribution with peak incidence in the spring and automn to early winter. The sites of hemorrhage were putamen, subcortex, thalamus, cerebellum and brainstem in descending order of incidence. The analysis of conservative treatment group showed that the factors affecting prognosis were initial consciousness, herniation sign, initial systolic pressure, amount of hemorrhage, site of hemorrhage, age and history of cerebrovascular accident. The prognosis of surgical treatment group showed the better outcome but it was not statistically significant.
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