Nontraumatic intracerebral hemorrhage in young adults: Analysis of 214 cases

C. H. Chen, M. L. Lai

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Abstract

We present a series of 214 patients (156 men, 58 women) aged 15-44 years who came to our hospital with nontraumatic intracerebral hemorrhage (ICH) from January 1990 through December 1998. The causes of ICH were determined in 165 patients (77%). The main causes were hypertension (50.5%), arteriovenous malformation (AVM, 9.8%) and blood dyscrasia (9.3%). No causes were found in 22.9% of patients. Most cases of ICH were putaminal and lobar. The mortality rate within one month of diagnosis was 30.4%. Recurrent ICH was identified in 12 patients (hypertension in 9, AVM in 2, and undetermined cause in 1) and six of them died. These findings in young adults living in southern Taiwan were compared with those in other populations. The frequency of hypertension in young ICH patients was higher in our patients than that in Caucasians, Arabians, and patients from other regions of Taiwan. Hypertension accounts for half of the cases of ICH and for the majority of recurrence in young adults. Twelve percent of patients were not aware of elevated blood pressure until the ictus. Early detection and aggressive management of hypertension in young adults living in southern Taiwan are important.

Original languageEnglish
Pages (from-to)96-101
Number of pages6
JournalActa Neurologica Taiwanica
Volume8
Issue number2
Publication statusPublished - 1999 Jan 1

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All Science Journal Classification (ASJC) codes

  • Neurology
  • Clinical Neurology

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