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Outcome after brain haemorrhage.

Martin S Dennis1

  • 1Department of Clinical Neurosciences, Western General Hospital, Edinburgh, UK. msd@skull.dcn.ed.ac.uk

Cerebrovascular Diseases (Basel, Switzerland)
|April 17, 2003
PubMed
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Intracerebral haemorrhage, a severe stroke type, has a high fatality rate. Prognosis for hemorrhagic stroke is similar to ischemic stroke, with age and severity impacting outcomes.

Area of Science:

  • Neurology
  • Stroke Medicine
  • Epidemiology

Background:

  • Intracerebral haemorrhage accounts for 10-20% of strokes with a high 1-month case fatality (42%).
  • Limited long-term follow-up data due to low incidence and high early mortality hinders precise prognosis.
  • Advancements in diagnostic imaging (e.g., gradient echo MRI) influence patient selection for prognostic studies.

Purpose of the Study:

  • To evaluate the prognosis of intracerebral haemorrhage compared to ischemic stroke.
  • To identify factors influencing outcomes and recovery after hemorrhagic stroke.
  • To address methodological challenges in studying intracerebral haemorrhage prognosis.

Main Methods:

  • Review and synthesis of existing epidemiological data on intracerebral haemorrhage.

Related Experiment Videos

  • Comparison of prognostic factors and outcomes with ischemic stroke cohorts.
  • Analysis of factors such as age, stroke severity, and hemorrhage extent.

    • Main Results:

    • Prognosis for intracerebral haemorrhage is similar to ischemic stroke of equivalent clinical severity.
    • Increased age and stroke severity (neurological score, hemorrhage extent) correlate with higher case fatality and poorer functional outcomes.
    • Epileptic seizures are more common after hemorrhagic stroke, particularly lobar hemorrhages.

    Conclusions:

    • Despite methodological challenges, intracerebral haemorrhage prognosis appears comparable to ischemic stroke.
    • Age and stroke severity are key determinants of outcomes.
    • Further research pooling data from community-based studies is needed for precise prognostic data.