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Surgical Risk of Hemorrhage in Cerebral Amyloid Angiopathy Stroke 22:456-461, Matkovic,Z.,et al, 1991 See this aricle in Pubmed Article Abstract Cerebral amyloid angiopathy is increasingly recognized as a cause of lobar cerebral hemorrhage in normotensive elderly individuals.Isolated reports have suggested that neurosurgical intervention entails a high risk of precipitated hemorrhage.We identified 16 pathologically confirmed cases of cerebral amyloid angiopathy.Fourteen of these patients presented with lobar cerebral hemorrhage.Fifteen neurosurgical procedures in eight patients included eight clot evacuations,three abscess drainage procedures,two ventriculoperitoneal shunts,one biopsy,and one lobectomy. Recurrent postoperative cerebral hemorrhage was seen in four patients at 2 days,9 days,6 weeks,and 10 months,but surgery was thought to have precipitated the cerebral hemorrhage in only one patient.Recurrent cerebral hemorrhage also was seen in two of the eight nonoperated cases. Recurrent cerebral hemorrhage is characteristic of cerebral amyloid angiopathy,but we conclude that neurosurgical intervention,particularly evacuation of hematomas,is not associated with major risk of precipitated hemorrhage.

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(click to filter results - removes previous filter) amyloid angiopathy,cerebral cerebrovascular accident,surgical treatment of intracerebral hemorrhage intracerebral hemorrhage,clot evacuation intracerebral hemorrhage,lobar intracerebral hemorrhage,recurrent intracerebral hemorrhage,treatment of neurologic complications of,surgery treatment of neurologic disorder

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