Clinical Analysis of Hypertensive Intracranial Hemorrhage.

Lee, Jae Gyu; Choi, Jeong Hoon; Lee, Sang Bong; Lee, In Chang; Bae, Sang Do

Original Article

Journal of Korean Neurosurgical Society 1993;22(4): 484-492.

Jae Gyu Lee, Jeong Hoon Choi, Sang Bong Lee, In Chang Lee, Sang Do Bae

Department of Neurosurgery, Masan Koryo General Hospital, Masan, Korea.

ABSTRACT

367 patients with hypertensive intracranial hemorrhage, admitted to Masan Koryo neurosurgical department from Jan. 1988 to Dec. 1991, have been clinically analyzed. The results were as follows: 1) The group consisted of 176 males and 191 females. The peak age of the patients was at their 6th decade. Seasonal distribution of the incidence was peaked at spring and autumn. 2) 51.0% of these hemorrhage was located in putamen, 19.9% in thalamus, 12.5% in subcortex, 8.7% in cerebellum and 7.9% in brain stem. Patients with brain stem hemorrhage showed relatively poor prognosis compared with subcortex or cerebellar hemorrhage. 3) The level of consciousness at admission has significant relation to prognosis especially in non-operative group. 4) 130 patients underwent surgical treatment. In delayed operation group which was performed after at least 3 days from attack, good prognosis was obtained. 5) In 146 patients(39.8%), IVH was accompanied, which lead to poor prognosis. Especially in patients with thalamic hemorrhage, the incidence of IVH reached to 71.2%. 6) Overall outcome of 367 patients was good in 40.9%, and poor in 25.9%. Total motality rate was 33.2%.

Key Words: Hypertensive intracranial hemorrhage; Prognosis; IVH(Intraventricular hemorrhage)