| Clinical and Radiological Characteristics in the Aged and the Young with Intracerebral Hemorrhages |
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Beoung-Kwan Kim , EL Kim |
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Department of Neurosurgery, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea |
| 뇌내혈종 환자에서 연령에 따른 임상적 및 영상의학적 특성의 비교 |
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김병관·김 엘 |
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계명대학교 의과대학 동산의료원 신경외과학교실 |
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| Abstract |
Objective
The authors investigated the differences of clinical features and radiographic findings in the group of ≥65 and ＜65 years old with spontaneous intracerebral hemorrhages (ICHs).
Methods
The 232 consecutive patients treated for their primary ICHs over a 7-year period were enrolled for this retrospective study. Variables on the clinical-laboratory data and magnetic resonance (MR) imaging abnormalities were compared between the young patients (n=119) and the aged patients (n=113). Microbleed (MB) and old hematoma (OH) was measured on T2*-weighted gradient-echo (GRE) sequence by using a 3.0-T MR scanner. We also counted lacunes and graded white matter hyperintensity (WMH) and periventricular hyperintensity (PVH) on T1- and T2-weighted spin-echo and fluid attenuated inversion recovery images.
Results
There was no difference of clinical characteristics and laboratory results between the both groups of ICHs. Cerebral MBs, lacunes, WMHs and PVHs were more common in the aged (p＜0.001). The predilection of cerebral MBs in basal ganglia was only significant variable in the young compared with the aged. On multivariate analysis, age and white matter changes was an independent risk factor for predicting both the MBs and lacunes in the patients with ICHs.
Conclusion
This study found that three lesions of microangiopathy (MB, lacune, and leukoaraiosis) on the brain MRI tended to occur in the aged patients with primary ICHs. |
| Key Words:
Intracerebral hemorrhage, Magnetic resonance image, Microbleed, Lacune, Leukoaraiosis |
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