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Stroke, Vol 19, 192-195, Copyright © 1988 by American Heart Association

ARTICLES

Changing prognosis of primary intracerebral hemorrhage: results of a clinical and computed tomographic follow-up study of 104 patients

C Fieschi, A Carolei, M Fiorelli, C Argentino, L Bozzao, C Fazio, M Salvetti and S Bastianello
Department of Neurological Sciences, Universita degli Studi di Roma, La Sapienza, Italy.

One hundred four consecutive cases of primary intracerebral hemorrhage hospitalized at the time of stroke were followed until death or for 1 year. All were treated nonsurgically. The 30-day mortality rate was 30%. Good clinical outcome and complete resolution of the lesion on computed tomography were observed in 49 and 13% of patients, respectively. Age, state of consciousness, and size of the hemorrhage on computed tomography scan were reliable prognostic indicators. The long-term survival rate, 66%, was higher than that previously reported and should be considered in future trials evaluating medical and surgical treatment of intracerebral hemorrhage.

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