Basal Ganglia-thalamic hemorrhage in young adults: a hospital-based study.
BACKGROUND
The causes of basal ganglia-thalamic hemorrhage in the young are not well established. Therefore, its clinical profile, etiology, and risk factors were studied.


METHODS
Retrospectively, collected data were evaluated using the chi(2) test and logistic regression analysis.


RESULTS
Gender differences occurred in the clinical profile, risk factors, and etiological spectrum. Large hematoma, Glasgow Coma Scale </=10 on admission, and the need for surgical intervention occurred significantly more frequently in males. The etiologies included vascular anomaly in 13 of 247 enrollees (5.3%), hypertension (80.2%), alcoholism/cigarette smoking (4.9%), medical problems (8.5%), and cryptogenic causes (5.3%).


CONCLUSIONS
The need for aggressive investigation is suggested in normotensive patients, especially in females and those aged below 30 years.
Chen
Yi-Chun
YC
Department of Neurology, Chang Gung Memorial Hospital, Taipei, Taiwan, ROC.
Wu
Yih-Ru
YR
Hsu
Wen-Chuin
WC
Chen
Chiung-Mei
CM
Lee
Tsong-Hai
TH
Chen
Sien-Tsong
ST
D000293:Adolescent; D000328:Adult; D000437:Alcoholism / Q000150:complications / Q000453:epidemiology; D001479:Basal Ganglia / Q000473:pathology*; D002543:Cerebral Hemorrhage / Q000453:epidemiology / Q000209:etiology* / Q000601:surgery; D002561:Cerebrovascular Disorders / Q000151:congenital; D005260:Female; D015600:Glasgow Coma Scale; D006406:Hematoma / Q000150:complications / Q000473:pathology; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000453:epidemiology; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures; D011379:Prognosis; D012008:Recurrence; D012189:Retrospective Studies; D012307:Risk Factors; D012727:Sex Characteristics; D012907:Smoking / Q000453:epidemiology; D013788:Thalamus / Q000473:pathology*