Journal of Korean Neurosurgical Society

  • 제38권6호
  • /
  • Pages.425-430
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  • 2005
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
권호 표지

Recurrent Spontaneous Intracerebral Hemorrhage

  • Lee, Chang-Ju (Department of Neurosurgery, College of Medicine, Chungnam National University) ;
  • Koh, Hyeon-Song (Department of Neurosurgery, College of Medicine, Chungnam National University) ;
  • Choi, Seung-Won (Department of Neurosurgery, College of Medicine, Chungnam National University) ;
  • Kim, Seon-Hwan (Department of Neurosurgery, College of Medicine, Chungnam National University) ;
  • Yeom, Jin-Young (Department of Neurosurgery, College of Medicine, Chungnam National University) ;
  • Kim, Youn (Department of Neurosurgery, College of Medicine, Chungnam National University)
  • 발행 : 2005.12.28
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초록

Objective : Recently, the survival rate and prognosis of spontaneous intracerebral hemorrhage[S-ICH] has improved, and their enhanced survival has become associated with a consequent rise in the recurrence of S-ICH. The aim of this study is to improve the prevention of recurrent S-ICH. Methods : Between January 1999 and March 2004, we experienced 48 cases of recurrence. We classified the patients into the two groups; a double ICH group and a triple ICH group. We investigated their brain CTs, MRIs, cerebral angiographies, and medical records, retrospectively. Results : Majority of patients had the intervals at least 12 months, and most of patients underwent conservative treatment. The most common hemorrhage pattern of recurrence was ganglionic-ganglionic [basal ganglia - basal ganglia], and the second attack was contralateral side of the first attack in a large percentage of all patients. Prognosis of patients was worsened in recurrent attack. Nearly all patients had medical history of hypertension, and most patients have taken antihypertensive medication at the arrival of emergency room. Conclusion : In treating hypertension for S-ICH patients, we stress that blood pressure must be thoroughly controlled over a long period of time.

키워드

참고문헌

  1. Amiji S : Two cases of recurrent hypertensive intracerebral hemorrhage on the same side & same site. Cerebrovas Accid 6 : 419-424, 1984
  2. Arakawa S, Saku Y, Ibayashi S, Nagao T, Fujishima M : Blood pressure control and recurrence of hypertensive brain hemorrhage. Stroke 29 : 1806- 1809, 1998 https://doi.org/10.1161/01.STR.29.9.1806
  3. Araki G : Study of cerebrovascular accident (36th). Analysis of recurrence of intracerabral hemorrhage. J Shinmai 25 : 78-80, 1971
  4. Bae HG, Jeong DS, Doh JW, Lee KS, Yun IG : Recurrent hypertensive intracerebral hemorrhage. J Korean Neurosurg Soc 28 : 335-339, 1999
  5. Broderick JP, Brott T, Tomsick T, Miller R, Huster G : Intracerebral hemorrhage more than twice as common as subarachnoid hemorrhage. J Neurosurg 78 : 188-191, 1993 https://doi.org/10.3171/jns.1993.78.2.0188
  6. Chen ST, Chiang CY, Hsu CY, Lee TH, Tang LM : Recurrent hypertensive intracerebral hemorrhage. Acta Neurol Scand 91 : 128-132, 1995 https://doi.org/10.1111/j.1600-0404.1995.tb00418.x
  7. Doh ES, Han DR, Kim OL, Chi YC, Choi BY, Cho SH : Indications of stereotatic evacuation of spontaneous intracerebral hemorrhage. J Korean Neurosurg Soc 18 : 279-289, 1989
  8. Gonzalez-Duarte A, Cantu C, Ruiz-Sandoval JL, Barinagarrementeria F : Recurrent primary cerebral hemorrhage : frequency, mechanisms, and prognosis. Stroke 29 : 1802-1805, 1998 https://doi.org/10.1161/01.STR.29.9.1802
  9. Kim DS : Etiology and pathogenesis of hypertensive intracerebral hemorrhage. J Korean Neurosurg Soc 17 : 29-36, 1988
  10. Kim YJ, Kim GK, Lim YJ, Kim TS, Rhee BA, Leem W : Recurrent and repeated hypertensive intracerebral hemorrhage in surgically treated cases. J Korean Neurosurg Soc 26 : 1065-1070, 1997
  11. Kwon Y, Kim CJ, Rhim SC, Kwun BD, Whang CJ : Comparative clinical analysis of stereotactic surgery versus conservative treatment for spontaneous intracerebral hemorrhage. J Korean Neurosurg Soc 19 : 995-1000, 1990
  12. Lee KS, Bae HG, Yun IG : Recurrent intracerebral hemorrhage due to hypertension. Neurosurgery 26 : 586-590, 1990 https://doi.org/10.1227/00006123-199004000-00005
  13. Lim YJ, Lee KH, Kim TS, Kim GK, Rhee BA, Leem W : Evaluation of long-term outcome with hypertensive intracerebral hemorrhage. J Korean Neurosurg Soc 19 : 1075-1092, 1990
  14. Massaro AR, Sacco RL, Mohr JP, Foulkes MA, Tatemichi TK, Price TR, et al : Clinical discriminators of lobar and deep hemorrhages : the Stroke Data Bank. Neurology 42 : 1881-1885, 1992
  15. Mckissock W, Richardson A, Taylor J : Primary intracerebral hemorrhage : a controlled trial of surgical & conservative treatment in 180 unselected cases. Lancet 2 : 221-226, 1961
  16. Miyasaka Y : Bilateral hypertensive intracerebral hemorrhage, diagnosed by CT scan : 5 cases reported and reviews of literature. Neuro Med Chir (Tokyo) 22 : 661-667, 1982 https://doi.org/10.2176/nmc.22.661
  17. Neau JP, Ingrand P, Couderq C, Rosier MP, Bailbe M, Dumas P, et al : Recurrent intracerebral hemorrhage. Neurology 49 : 106-113, 1997 https://doi.org/10.1212/WNL.49.1.106
  18. Park SI, Kang DG, Kim SC : Recurrent hypertensive intracerebral hemorrhage. J Korean Neurosurg Soc 22 : 1213-1219, 1993
  19. Park YC : Clinical diagnosis of cerebrovascular accident. J Korean Med Assoc 28 : 303-308, 1985
  20. Passero S, Burgalassi L, D'Andrea P, Battistini N : Recurrence of bleeding in patients with primary intracerebral hemorrhage. Stroke 26 : 1189- 1192, 1995 https://doi.org/10.1161/01.STR.26.7.1189
  21. Kothari RU, Brott T, Broderick JP, Barsan WG, Sauerbeck LR, Zuccarello M, et al : The ABCs of measuring intracerebral hemorrhage volumes. Stroke 27 : 1304-1305, 1996 https://doi.org/10.1161/01.STR.27.8.1304
  22. Suzuki N : Recurrence of cerebrovascular disturbance. Treatment of hemorrhagic lesion, factor of prognosis. Emerg Med 6 : 1027-1030, 1982
  23. Weiner M, Piepgras D : Surgical management of primary intracerebral hemorrhage in Schmidek HH, Sweet WH(eds) : Operative Neurosurgical Techniques. Indications, Methods and Results, ed 3. Philadelphia : WB Saunders, 1995, pp929-936
  24. Yoji N, Yukihide T, Shazo N : Recurrent hypertensive intracerebral hemorrhage in same region. Neuro Med Chir(Tokyo) 28 : 915-918, 1988 https://doi.org/10.2176/nmc.28.915
  25. Zulch KJ : Special lecture : spondtaneous intracerebral hematomas, advances in diagnosis & therapy. Stroke. Springer-Verlag, 1980, pp1-12