Spontaneous Intracerebral Hemorrhage: Etiology and Yearly Prognostic Factors

OBJECTIVE: Objectýve: To assess the risk factors in patients with history of spontaneous intracerebral hematoma, to determine the effects of these risk factors on mortality and morbidity and recurrence rate during 12-month follow up period, to investigate the risk factors.
METHODS: Materials and methods: 215 patients with spontaneous intracerebral hermorrhage treated between January 2008-June2010 in Trakya University Faculty of Medicine Neurology Department were included in this study. Patients who suffered from a stroke due to arteriovenous malformation, subarachnoid hemorrhage, epidural hematoma and subdural hematoma were excluded.
RESULTS: Results: It was determined that male gender, age and hypertension are risk factors for intracerebral hemorrhage. However diabetes mellitus, smoking and alcohol usage are not. Due to the scarcity of patients using antiaggregant and anticoagulant medication its statistical relation to intracerebral hemorrhage was not possible to define. Age over 65, hypertension, presence of hyperglycemia at the time of admission, size of hematoma, presence of intraventricular hemorrhage and score calculated at the time of admission according to National Health Institute Stroke Scale are important factors for prognosis. The influence of age 5 and older was seen to be an independent risk factor, whereas presence of hypertension was analyzed to increase the recurrence rate.
CONCLUSION: Dýscussýon: Knowledge on the risk factors of intracerebral hemorrhage is essential on taking preventive measures. Factors affectiong the prognosis on patients who underwent intracerebral hemorrhage must be recognized. This way morbidity rates may be reduced with the treatment of curable cases, thus releiving the economical burden from the health system.