自發性腦出血病患的長期預後

Long-term Prognosis in Spontaneous Intracerebral Hemorrhage Survivors

蔡欣熹(Hsin-Hsi Tsai) ； 蔡力凱(Li-Kai Tsai) ； 湯頌君(Sung-Chun Tang) ； 鄭建興(Jiann-Shing Jeng)

《台灣中風醫誌》 4卷1期 (2022/03) Pp. 28-32

https://doi.org/10.6318/FJS.202203_4(1).0004

並列摘要

Intracranial hemorrhage consists of a quarter of stroke, and manifests with severe consequence, high morbidity and mortality. Sporadic small vessel disease is the predominant underlying etiology, and the most common subtypes are hypertensive small vessel disease and cerebral amyloid angiopathy. The clinical and radiological markers predicting early prognosis have been well identified, but the long-term prognosis including long-term mortality, cognitive performance, ambulatory and function decline is less studied in intracranial hemorrhage survivors. Factors related to the long-term prognosis may be also resulted from the combined effects of damage during the acute phase of intracerebral hemorrhage, pre-existing parenchymal damage from underlying microangiopathy, and their other comorbidities. In this article, we will briefly introduce the types of small vessel disease underlying spontaneous intracerebral hemorrhage, and how they affect the long-term intracerebral hemorrhage recurrence and morality. We will also discuss the presentation of cognitive impairment and the neuropsychiatric manifestations in intracerebral hemorrhage survivors.

並列關鍵字

Intracerebral hemorrhage ； Small vessel disease ； Cerebral amyloid angiopathy ； Hypertension