RECURRENT HYPERTENSIVE INTRACEREBRAL HEMORRHAGE

Hypertensive intracerebral hemorrhage (ICH) usually is a one-time event, despite multiple microaneurysms and widespread lipohyalinosis in the cerebral perforating vessels, Contrary to this belief, the authors describe five patients with recurrent hypertensive ICH, Of 105 patients of spontaneous ICH, 5 had recurrence, All were patients with poorly controlled hypertension whose age ranged from 25-62 years; 3 were women, Four patients had two episodes of ICH, and one had three, Of 11 hemorrhages, 9 were ganglionic, one was pontine, and one was lobar, Recurrence of hypertensive ICH seems to be commoner than reported in the literature, and it may be attributed to poor control of blood pressure.