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Spontaneous intracerebral hemorrhage in young adults
Author(s) -
Lai S.L.,
Chen S.T.,
Lee T.H.,
Ro L.S.,
Hsu S.P.
Publication year - 2005
Publication title -
european journal of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.881
H-Index - 124
eISSN - 1468-1331
pISSN - 1351-5101
DOI - 10.1111/j.1468-1331.2004.00957.x
Subject(s) - medicine , etiology , intracerebral hemorrhage , spontaneous intracerebral hemorrhage , coagulopathy , incidence (geometry) , mortality rate , pediatrics , subarachnoid hemorrhage , physics , optics
Few studies have addressed intracerebral hemorrhage (ICH) in younger adults. We studied spontaneous ICH in adults ≤45 years of age. We retrospectively reviewed patients hospitalized with ICH between 2000 and 2001 to investigate incidence, etiology, risk factors, bleeding sites, management, and prognosis. Patients (224 men, 72 women; 37.0 ± 7.7 years) had a mortality rate of 24%. The most common risk factor for mortality was hypertension (HTN) (48.7%). Bleeding was most common in the ganglion (49.0%). Multiple hemorrhages (83.3%) caused the highest mortality, with the most common cause of mortality being HTN (46.6%). Coagulopathy (62.5%) caused the highest mortality based on etiologic classification. Recurrent HTN‐induced hemorrhage rate was 3.6%. In Taiwanese adults ≤45 years of age, ICHs mainly involve the ganglion and result from HTN. Rates of HTN‐induced hemorrhage are higher in Taiwan (46.6%) than elsewhere. Differences between races or countries should be investigated further.