Clinical Analysis of Spontaneous Intracerebral Hematoma in Elderly Patients |
Jong Un Moon , Gook Ki Kim , Seok Keun Choi, Sung Bum Kim , Jun Seok Koh , Bong Jin Park, Tae Sung Kim , Bong Arm Rhee , Young Jin Lim |
Department of Neurosurgery, School of Medicine, Kyung-Hee University Hospital, Seoul, Korea |
고령 환자에서의 자발성 뇌실질내
출혈에 대한 임상 분석 |
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Abstract |
Objective The purpose of this study is to assess risk factors and clinical outcomes of the spontaneous intracerebral
hemorrhage in elderly patients.
Materials and Methods: From February 2000 to December 2005, the patients who were diagnosed with spontaneous
intracerebral hemorrhage were 497. Among them, patients who were over 65 years old were 144. They were
treated conservatively or surgically at our institute. The medical records and neuroimaging studies of these patients
were reviewed retrospectively and the factors related to mortality and morbidity were analyzed.
Results Among 144 patients, 59 patients were male and 85 patients were female. The average age at onset
of spontaneous intracerebral hemorrhage was 71.8 years old. Past medical histories were hypertension 58 patients
(40.3%), diabetes mellitus 17 patients (11.8%), cardiac problems 4 patients (2.8%), pulmonary problems 7 patients
(4.9%), and combined in 21 patients (14.6%). Mean volume of hematoma was 22.7 cc. Ninety-eight patients (68.1%)
out of 144 underwent conservative treatments, surgical treatments including stereotactic aspiration and open surgery
were performed in 46 patients. Sixty-three patients (43.8%) showed favorable outcomes. In comparison with the
patients who were under 65 years old, elderly patients showed the worse outcomes than younger patients. Also, elderly
patients showed more severe complications with complicated medical problems.
Conclusions Although many treatment modalities for spontaneous intracerebral hemorrhage are available, elderly
patients showed poor outcomes. Therefore, more concern should be given to other general conditions or medical
problems as well as cerebral hemorrhage per se when treating elderly patients. |
Key Words:
Spontaneous intracerebral hemorrhageㆍElderly patientsㆍClinical outcomes |
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