Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2007 Aug;78(8):836-40.
doi: 10.1136/jnnp.2006.106500. Epub 2007 Jan 12.

The risk of recurrent stroke after intracerebral haemorrhage

H C Hanger  1 , T J Wilkinson, N Fayez-Iskander, R Sainsbury
Affiliations

The risk of recurrent stroke after intracerebral haemorrhage

H C Hanger et al. J Neurol Neurosurg Psychiatry. 2007 Aug.

Abstract

Background and aim: The risks of recurrent intracerebral haemorrhage (ICH) vary widely (0-24%). Patients with ICH also have risk factors for ischaemic stroke (IS) and a proportion of ICH survivors re-present with an IS. This dilemma has implications for prophylactic treatment. This study aims to determine the risk of recurrent stroke events (both ICH and IS) following an index bleed and whether ICH recurrence risk varies according to location of index bleed.

Patients and methods: All patients diagnosed with an acute ICH presenting over an 8.5 year period were identified. Each ICH was confirmed by reviewing all of the radiology results and, where necessary, the clinical case notes or post-mortem data. Recurrent stroke events (ICH and IS) were identified by reappearance of these patients in our stroke database. Coronal post-mortem results for the same period were also reviewed. Each recurrent event was reviewed to confirm the diagnosis and location of the stroke.

Results: Of the 7686 stroke events recorded, 768 (10%) were ICH. In the follow-up period, there were 19 recurrent ICH and 17 new IS in the 464 patients who survived beyond the index hospital stay. Recurrence rate for ICH was 2.1/100 in the first year but 1.2/100/year overall. This compares with 1.3/100/year overall for IS. Most recurrences were "lobar-lobar" type.

Conclusion: The cumulative risk of recurrent ICH in this population is similar to that of IS after the first year.

PubMed Disclaimer

Conflict of interest statement

Competing interests: None.

References

    1. Mayer S A, Rincon F. Treatment of intracerebral haemorrhage. Lancet Neurol 20054662–672. - PubMed
    1. Vermeer S E, Algra A, Franke C L.et al Long term prognosis after recovery from primary intracerebral hemorrhage. Neurology 200259205–209. - PubMed
    1. Bin J, Wang W ‐ Z, Chen H.et al Incidence and trends of stroke and its subtypes in China: results from three large cities. Stroke 20063763–68. - PubMed
    1. McNaughton H, Weatherall M, McPherson K.et al The comparability of community outcomes for European and non‐European survivors of stroke in New Zealand. NZ Med J 200211598–100. - PubMed
    1. Kubo M, Kiyohara Y, Kato I.et al Trends in the incidence, mortality, and survival rate of cardiovascular disease in a Japanese community. The Hisayama study. Stroke 2003342349–2354. - PubMed

Publication types