Journal of Korean Neurosurgical Society
- Volume 30 Issue sup2
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- Pages.259-265
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- 2001
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- 2005-3711(pISSN)
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- 1598-7876(eISSN)
Growth Factor According to Rebleeding in Small Volume Spontaneous Intracerebral Hemorrhage
소량의 자발성 뇌내출혈에서 재출혈에 의한 혈종 성장에 미치는 인자
- Jung, Hyun Ho (Department of Neurosurgery, Wonju College of Medicine, Yonsei University) ;
- Kim, Sei Yoon (Department of Neurosurgery, Wonju College of Medicine, Yonsei University) ;
- Whang, Kum (Department of Neurosurgery, Wonju College of Medicine, Yonsei University) ;
- Cho, Sung Min (Department of Neurosurgery, Wonju College of Medicine, Yonsei University) ;
- Pyen, Jhin Soo (Department of Neurosurgery, Wonju College of Medicine, Yonsei University) ;
- Hu, Chul (Department of Neurosurgery, Wonju College of Medicine, Yonsei University) ;
- Hong, Soon Ki (Department of Neurosurgery, Wonju College of Medicine, Yonsei University)
- 정현호 (연세대학교 원주의과대학 신경외과교실) ;
- 김세윤 (연세대학교 원주의과대학 신경외과교실) ;
- 황금 (연세대학교 원주의과대학 신경외과교실) ;
- 조성민 (연세대학교 원주의과대학 신경외과교실) ;
- 변진수 (연세대학교 원주의과대학 신경외과교실) ;
- 허철 (연세대학교 원주의과대학 신경외과교실) ;
- 홍순기 (연세대학교 원주의과대학 신경외과교실)
- Received : 2001.10.22
- Accepted : 2001.12.07
- Published : 2001.12.31
Abstract
Objectives : Spontaneous intracerebral hemorrhage(S-ICH) is generally considered to be a mon-ophasic event. But some patients with ICH continued to bleed even after hospitalization. In order to evaluate the rebleeding and growth factor of hematoma in small volume S-ICH, 125 cases of S-ICH were reviewed retrospectively. Methods : We assesed age, sex, initial mental state, location of hemorrhage, systolic and diastolic blood pressure, blood pressure patterns, hematologic profile, trauma and stroke history, alcohol consumption and smoking history. Two subgroups-rebleeding groups versus no rebleeding groups-were compared, in terms of data analysis, with student T-test and chi-square test. Results : Substantial growth in the volume of S-ICH occurred in 21 cases(16.8%)-putamen(7 cases), thalamus(6 cases), subcortex(5 cases), cerebellum(2 cases), pons(1 case)-of the 125 patients. There was no significant difference in any of the parameters except initial systolic blood pressure(p=0.037) when patients with and without rebleeding were compared. Conclusion : The rebleeding and growth of the small volume S-ICH was related to the markedly elevated initial systolic blood pressure(