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KMID : 0359819930220111213
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Journal of Korean Neurosurgical Society
1993 Volume.22 No. 11 p.1213 ~ p.1219
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Recurrent Hypertensive Intracerebral Hemorrhage
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Abstract
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Thirty six consecutive patients with recurrent hypertensive intracerebral hemorrhage were identified in a retrospective review of 307 cases of hypertensive intracerebral hemorrhage (HICH) treated at the Fatima Hospital between September, 1989,
and
August, 1992. The recurrence rate was 11.7%. There were 14 males and 22 females, aged 38 to 83 years. Only one patient had received regular antihypertensive therapy after initial hemorrhage. The mean volume of hemorrhage was 21.7cc at first
attack
and
19.5cc at recurrent attack. The site of recurrent hemorrhage was putamen in 18 cases, thalamus in 12 cases, cerebellum in 8 cases and lobar in 3 cases. The most common pattern of recurrence was "Ganglionic-Ganglioni" (10 cases). Recurrent
hemorrhage
occured at the same side in 54.8% and same side & same site in 16.7% of recurrent hemorrhage. Mean interval between the hemorrhage was 17.4 months and 55.8% of recurrent hemorrhage occured within 1 year. Initial condition was worse at recurrent
hemorrhage and outcome also was worse regardless of treatment methods. We concluded that recurrent intracerebral hemorrhage in HICH patients was not a rare condition and regular follow up and antihypertensive therapy was important in prevention
of
recurrent hypertensive intracerebral aemorrhage.
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