Spontaneous intracerebral hemorrhage. Necropsy study spanning a year
Keywords:
cerebrovascular disorders, cerebral hemorrhage, autopsyAbstract
A review of 160 deceased cases with diagnosis of cerebrovascular disease and having undergone necropsy spanning a whole year was performed, in order to assess its mortality rates. A 35.6% of cases were diagnosed as intracerebral hemorrhage. The peak incidence was in the age above 60 years, and male gender was the most affected. The main cause of death was neurological in 45 cases and non-neurological in 12, being hypertension in 85.9% of cases and in only 14.1% other etiologies were involved. The most frequent location was putamen (42.1%), followed by thalamus (14%), cerebral and cerebellar hemisphere (12.2% each), centrum ovale white matter (10.5%), pons and caudatum (1.8% each). The predictive factors for a worse outcome were advanced age, hemorrhage size, the presence of ventricular flood and brain shifts.Downloads
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