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Recurrent Primary Cerebral Hemorrhage, Frequency, Mechanisms, and Prognosis Stroke 29:1802-1805, Gonzalez-Duarte,A.,et al, 1998 See this aricle in Pubmed Article Abstract Five patients(23%)were older than 70 years at the primary cerebral hemorrhage.Mean ages at the first and second hemorrhages were 60 and 63 years,respectively.Risk factors included hypertension(86%),diabetes(27%), and tobacco and alcohol use(each 14%).Hypocholesterolemia was demonstrated in 35%of the patients.The most common pattern of recurrent bleeding was ganglionic-ganglionic,mainly related to hypertension.Overall mortality was 32%.Forty-one percent and 27%of patients,respectively,had incapacitating and nonincapacitating sequelae;2 of the latter had RPCH with lobar location.Ganglionic-ganglionic hemorrhage was associated with a poor prognosis;otherwise,this pattern was uncommon in patients with nonincapacitating sequelae.Analysis of the control of risk factors, primarily hypertension after the first cerebral hemorrhage,disclosed that 56%of patients did not gain subsequent control.Rebleeding after a first primary intracerebral hemorrhage is not uncommon.The main topographic pattern of bleeding,ganglionic-ganglionic,is likely the result of hypertension;the less common lobar-lobar pattern probably results from amyloid angiopathy.

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(click to filter results - removes previous filter) amyloid angiopathy,cerebral basal ganglia,hemorrhage hypertension intracerebral hemorrhage intracerebral hemorrhage,causes of intracerebral hemorrhage,lobar intracerebral hemorrhage,location of intracerebral hemorrhage,recurrent prognosis review article

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