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Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
Published on: October 15, 2021
Recurrent primary intracerebral hemorrhage: a hospital based study
Cheng-Chung Yen1, Yuk-Keung Lo, Jie-Yuan Li
1Section of Neurology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Acta Neurologica Taiwanica
|August 10, 2007
Summary
Recurrent primary intracerebral hemorrhage (ICH) is common, with hypertension being a key risk factor. The prognosis after a second ICH is significantly worse than after a first, highlighting the need for effective prevention strategies.
Area of Science:
- Neurology
- Stroke Medicine
- Epidemiology
Background:
- Primary intracerebral hemorrhage (ICH) incidence is higher in Taiwan compared to Western countries.
- Recurrence of primary ICH is a significant clinical concern.
- Understanding recurrence patterns is crucial for patient management.
Purpose of the Study:
- To determine the incidence of recurrent primary ICH.
- To identify risk factors associated with ICH recurrence.
- To evaluate the prognosis following a second ICH event.
Main Methods:
- Retrospective review of stroke registry data from Kaohsiung Veterans General Hospital (1999-2003).
- Inclusion of patients with confirmed primary ICH and a history of prior ICH.
- Exclusion of patients with secondary causes of ICH.
Main Results:
- The study identified 34 cases (5.8%) of recurrent primary ICH among 585 patients.
- Cerebral amyloid angiopathy was diagnosed in 11.7% of recurrent cases.
- The mortality rate after a second ICH was 23.5%, with 38.2% experiencing severe disability.
Conclusions:
- Recurrent primary ICH is a notable occurrence, with the basal ganglia being the most frequent site.
- Hypertension is identified as a significant risk factor for ICH recurrence.
- The prognosis post-second ICH is considerably poorer than after the initial event.
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