Abstract
Intracerebral hemorrhage (ICH) associated with ischemic cerebrovascular disease (ICVD) is reviewed in this paper.
We have experienced 385 cases with ICVD during the past five years, of which 11.2%were TIA, 22.1%were RIND, 53.2%were minor completed stroke, and 13.5%were major completed stroke. The follow-up period ranged from one month to 10 years (mean 1.8 years).
Episodes of ICH following ICVD occurred in 15 cases (2.0%per year). Hemorrhages were located in the putamen 7 (47%), the pons 5 (33%), and the thalamus 3 (20%).
These cases showed the following characteristic features. With regard to previous ischemic manifestations, nine cases presented RIND clinically, eight-cases demonstrated evidence of lacune on CT, 12 cases had hypertension, of which six cases responded poorly to medical treatment.
Surgical or conservative treatment resulted in a poor outcome due to the high incidence of pontine hemorrhage and large parenchymal hemorrhage. In addition, hemorrhage occurred on the opposite side to the preceding ischemic lesion, and damage over bilateral hemispheres exerted on influence on the prognosis.
