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Recurrent hypertensive intracerebral hemorrhage
S T Chen1, C Y Chiang, C Y Hsu
1Department of Neurology, Chang Gung Memorial Hospital and Medical College, Taipei, Taiwan.
Acta Neurologica Scandinavica
|February 1, 1995
Summary
Recurrent hypertensive intracerebral hemorrhage occurs in 5.3% of patients, often at new sites. Uncontrolled high blood pressure is a key risk factor, highlighting the need for blood pressure management after initial bleeding.
Area of Science:
- Neurology
- Neurosurgery
- Public Health
Background:
- Hypertensive intracerebral hemorrhage is typically viewed as a singular event.
- Clinical observations in Taiwan suggest a higher recurrence rate than commonly reported.
Purpose of the Study:
- To systematically review and analyze the incidence and characteristics of recurrent hypertensive intracerebral hemorrhage.
- To identify risk factors and outcomes associated with recurrent bleeding events.
Main Methods:
- Systematic review of consecutive patients with hypertensive intracerebral hemorrhage over a 2-year period.
- Analysis of patient demographics, hemorrhage recurrence rates, intervals, locations, antihypertensive therapy use, and outcomes.
Main Results:
- Identified 47 cases of recurrent hypertensive intracerebral hemorrhage (5.3% of total cases).
- Recurrent hemorrhages predominantly occurred at different sites than the initial event.
- Grave outcomes observed: 26% mortality and 51% severe disability among recurrent cases.
- Only 5 out of 38 patients with both hemorrhages received regular antihypertensive therapy.
Conclusions:
- Recurrent hypertensive intracerebral hemorrhage is more common than previously assumed.
- Uncontrolled hypertension is a significant risk factor for recurrence.
- Effective blood pressure control post-hemorrhage is crucial for preventing subsequent bleeding events.