| An Analysis of Difference Between Elderly Patients more than 65 Years and Younger Patients with Spontaneous Intracerebral Hemorrhage Locating within Basal Ganglia and Thalamus |
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Sang Hoon Baek , Hee Sup Shin , Seung Hwan Lee , Jun Seok Koh |
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Department of Neurosurgery, Stroke and Neurological Disorder Centre, Kyung Hee University Hospital at Gangdong, Kyung Hee University College of Medicine, Seoul, Korea |
| 기저핵과 시상부에 국한된 자발성 뇌출혈에 대한 65세 이상의 노인환자와 65세 미만 환자의 차이에 대한 분석 |
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백상훈·신희섭·이승환·고준석 |
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경희대학교 의과대학 강동경희대학교병원 신경외과학교실 |
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| Abstract |
Objective
The authors analyzed the patients with intracerebral hemorrhage (ICH) locating in basal ganglia and/or thalamus for elucidating the difference between the elderly (≥65 years) and the younger patients focusing on clinical characteristics in the context of disability.
Methods
Among total 696 ICH patients, we collected the patients with ICH in the region of basal ganglia and thalamus that were suggested as spontaneous ICH. On those patients, we included the patients with ICH volume under 50 cc in which amount only the conservative or minimal invasive surgery were required. We analyzed their clinical characteristics, retrospectively.
Results
Total 85 patients were matched for inclusion criteria. Forty patients were more than 65 years old (elderly group), and remaining 45 patients were under age of 65 (younger group). Both groups showed similar clinical characteristics in Glasgow Coma Scale score at onset time, the location of hematoma, laterality of affected hemisphere, the volume of hematoma, whether to be received minimal invasive surgery, and occurrence of complication. However, male gender and underlying dyslipidemia were less frequent in elderly group (p＜0.05). In comparing functional outcomes, patients with good outcome of mRS 0-2 were 5 (12.5%) for the elderly group and 19 (22.4%) for the younger group.
Conclusion
Although mRS score difference between elderly and younger patients did not reach statistical significance, the elderly group showed worse outcome. However, this study demonstrated the elderly group had slight male preponderance and less dyslipidemia in the statistically significant manner. |
| Key Words:
Aged, Cerebral hemorrhage, Outcome, Basal ganglia, Thalamus |
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