Primary non-traumatic intracranial hemorrhage. A municipal emergency hospital viewpoint.
The devastating natural history of 138 consecutive admissions for non-traumatic intracranial hemorrhage to a major emergency care municipal hospital is reviewed. Sixty-four percent of the patients had demonstrable intracranial hematomas while 36% had mainly subarachnoid hemorrhage. Hypertension was a related condition in 43% of the parenchymal hematoma patients, while proved aneurysms accounted for 74% of the subarachnoid hemorrhage patients. There was only a 14% survivorship for patients requiring emergent surgery. All operated hematoma patients survived delayed surgery with improved level of responsiveness. The overall mortality was 74% for intracranial hematoma patients and 58% for aneurysm-caused subarachnoid hemorrhage patients.
D000328:Adult; D000367:Age Factors; D000368:Aged; D001165:Arteriovenous Malformations / Q000150:complications; D002543:Cerebral Hemorrhage / Q000401:mortality / Q000628:therapy; D004630:Emergencies; D006801:Humans; D006973:Hypertension / Q000150:complications; D002532:Intracranial Aneurysm / Q000150:complications; D008297:Male; D008875:Middle Aged; D012737:Sex Factors; D013345:Subarachnoid Hemorrhage / Q000401:mortality / Q000628:therapy