Journal of Korean Society of Geriatric Neurosurgery 2007;3(1):25-29.
Published online June 30, 2007.
Clinical Analysis of Spontaneous Intracerebral Hematoma in Elderly Patients
Jong Un Moon , Gook Ki Kim , Seok Keun Choi, Sung Bum Kim , Jun Seok Koh , Bong Jin Park, Tae Sung Kim , Bong Arm Rhee , Young Jin Lim

Department of Neurosurgery, School of Medicine, Kyung-Hee University Hospital, Seoul, Korea

고령 환자에서의 자발성 뇌실질내 출혈에 대한 임상 분석
The purpose of this study is to assess risk factors and clinical outcomes of the spontaneous intracerebral hemorrhage in elderly patients.
and Methods: From February 2000 to December 2005, the patients who were diagnosed with spontaneous intracerebral hemorrhage were 497. Among them, patients who were over 65 years old were 144. They were treated conservatively or surgically at our institute. The medical records and neuroimaging studies of these patients were reviewed retrospectively and the factors related to mortality and morbidity were analyzed.
Among 144 patients, 59 patients were male and 85 patients were female. The average age at onset of spontaneous intracerebral hemorrhage was 71.8 years old. Past medical histories were hypertension 58 patients (40.3%), diabetes mellitus 17 patients (11.8%), cardiac problems 4 patients (2.8%), pulmonary problems 7 patients (4.9%), and combined in 21 patients (14.6%). Mean volume of hematoma was 22.7 cc. Ninety-eight patients (68.1%) out of 144 underwent conservative treatments, surgical treatments including stereotactic aspiration and open surgery were performed in 46 patients. Sixty-three patients (43.8%) showed favorable outcomes. In comparison with the patients who were under 65 years old, elderly patients showed the worse outcomes than younger patients. Also, elderly patients showed more severe complications with complicated medical problems.
Although many treatment modalities for spontaneous intracerebral hemorrhage are available, elderly patients showed poor outcomes. Therefore, more concern should be given to other general conditions or medical problems as well as cerebral hemorrhage per se when treating elderly patients.
Key Words: Spontaneous intracerebral hemorrhageㆍElderly patientsㆍClinical outcomes

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