Stroke, Vol 25, 338-341, Copyright © 1994 by American Heart Association
JP Lejeune, M Vinchon, P Amouyel, T Escartin, D Escartin and JL Christiaens
BACKGROUND AND PURPOSE: Previous reports have established that the
incidence of stroke may be influenced by meteorologic variations. However,
no significant correlation was clearly demonstrated concerning aneurysmal
bleeding. METHODS: From January 1, 1989, to December 31, 1991, 238 patients
with angiographically confirmed diagnoses of subarachnoid hemorrhage were
registered in the North of France region. For each day, the weather
variables were provided by the national meteorologic office (Meteo France).
We compared the meteorologic variables of days when subarachnoid hemorrhage
occurred with the variables of days without subarachnoid hemorrhage in a
multivariate model. RESULTS: We observed a seasonal pattern in the
occurrence of subarachnoid hemorrhage, with a low frequency of rupture in
June and July and maximum frequency in April and September (P < .05).
The days of occurrence were associated with short duration of sunshine (P
< .00006), low minimal level of hygrometry (P < .0002), low maximal
temperature (P < .005), and low atmospheric pressure the day before the
event (P < .05). CONCLUSIONS: Aneurysmal bleeding was significantly
associated with weather variables. Cold-induced hypertension may explain
these fluctuations in the occurrence of aneurysmal bleeding.
ARTICLES
Association of occurrence of aneurysmal bleeding with meteorologic variations in the north of France
Service de Neurochirurgie, Hopital B, Lille, France.
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