Risk of recurrent intracerebral hemorrhages

被引:11
作者
Buhl, R [1 ]
Barth, H [1 ]
Mehdorn, HM [1 ]
机构
[1] Univ Kiel, Dept Neurosurg, D-24106 Kiel, Germany
关键词
intracerebral hemorrhage; recurrence; cerebral amyloid angiopathy; hypertension;
D O I
10.1179/016164103771953952
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Intracerebral hemorrhage (ICH) occurs in about 10%-15% of all strokes, and hypertension and cerebral amyloid angiopathy (CAA) are the main underlying causes. There is often controversy regarding surgical evacuation especially in elderly patients. Follow-up of these patients and regulation of hypertension is important to prevent re-bleeding. The number of recurrent hematomas will increase with time of follow-up. We reviewed 968 patients with an ICH treated in our Department and 48 patients with recurrent hemorrhages (4.9%). The mean interval between the first and the second hemorrhage was three years (one month to 10 years). Clinical outcome after a second hemorrhage was severe and only 50% of patients were operated on the second hemorrhage compared to 77% (37148) of patients who were operated on the first hemorrhage.
引用
收藏
页码:853 / 856
页数:4
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