Evaluation of Cases of Recurrent Cerebral Vascular Diseases after Hypertensive Intracerebral Hemorrhage

Abstract

Seventeenout of 330 patients with hypertensive intracerebral hemorrhage developed a recurrence of some kinds of cerebrovascular disease. The type of disease, age, number of occurrences, interval between occurrences and prognosis in these 17 cases were analysed. Risk factors for recurrence were also verified.Twelve out of the 17 cases developed intracerebral hemorrhage again. The interval until the recurrence was most frequently less than one year; but with some cases even more than five years elapsed. Cases in which the recurrence occurred on the contralateral side were the most serious.The prognosis was not significantly influenced by hypertension. However, hypertension with hypoproteinemia was an important prognostic factor.The authors suggest that a high-protein diet with control of hypertension would decrease the incidence of recurrent intracerebral hemorrhage.