Abstract
The recurrence rate of hemorrhagic and ischemic stroke in patients with intracerebral hemorrhage was assessed during a mean follow-up period of 25 months. Subjects were 194 consecutive patients with hypertensive intracerebral hemorrhage confirmed by brain CT scan who admitted to our hospital within one week after onset.
Among 194 patients, 25 died with one month after the onset without any recurrent attacks. Nine of 169 patients survived, had recurrence of cerebral hemorrhage (10 attacks in 9 cases), resulted in the annual recurrence rate of 2.9%. Seven patients (8 episodes; 2.4%/year) developed cerebral infarction, six of which were lacunar stroke. One had TIA and two cases had bilateral intracerebral hematomas at the same time.
Twenty-eight of 194 patients had a history of stroke, five of which were definite cerebral hemorrhage and 18 (22 episodes) were definite cerebral infarction. Six of 11 patients in whom blood pressure before recurrent hemorrhage were known had been hypertensive without appropriate control.