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Journal of Korean Neurosurgical Society 1999;28(3): 335-339. |
| Recurrent Hypertensive Intracerebral Homorrhage. |
| Hack Gun Bae, Du Shin Jung, Jae Won Doh, Kyeong Seok Lee, Il Gyu Yun |
| Department of Neurosurgery and Neurology, Soonchunhyang University Chonan Hospital, Chonan, Korea. |
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| ABSTRACT |
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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. |
| Key Words:
Recurrence; Hypertensive intracerebral hemorrhage; Risk factor |
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