Details

Autor(en) / Beteiligte

• Bankole, Nourou Dine Adeniran
• Adjiou, Dognon Kossi François de Paule
• Moune, Michèle Yolande
• Hemama, Mustapha
• El Fatemi, Nizare
• El Maaqili, Mouley Rachid

Titel

Spontaneous intraparenchymal hemorrhage in young adults: Cross-sectional study

Ist Teil von

• Interdisciplinary neurosurgery : Advanced techniques and case management, 2023-09, Vol.33, p.101762, Article 101762

Ort / Verlag

Elsevier B.V

Erscheinungsjahr

2023

Link zum Volltext

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• •Spontaneous Intraparenchymal Hematoma (SIH) is associated with significant mortality and morbidity.•High blood pressure(HBP) is the most common etiology and age did not influence the mortality rates.•The search for an etiology other than High blood pressure should be systematic in young subjects.•More studies on Low resource-limited are needed to determine the risk factors for the development of SIH in young adults. Very few studies on young adult Spontaneous Intraparenchymal Hematoma (SIH) were reported in the literature. The characteristics of SIH differ between young and elderly patients; most SIH is attributed to high blood pressure (HBP). We aim to present the epidemiological, clinical, and etiology profile of young adults with SIH, and their intra-hospital short-term outcomes. This is a cross-sectional study conducted in our institution from January 2021 to January 2022. Patients admitted in emergency and managed for SIH were recorded prospectively. Fifty-six patients aged between 17 and 65 years old were included. The most common etiology was high blood pressure (44.6%, n = 25). Forty-eight (85.7%) patients were admitted with an ICH score <4. Most localizations of the SIH were deep regions (44.6%, n = 25). Thirty-seven patients (66.1%) received only medical treatment; EVD was performed in 14.3% and craniotomy in 12.5%. Unfortunately, 37 patients (66.07%) died, and 19 (33.92%) patients were discharged alive. High blood pressure was associated with high mortality rates (P = 0.09), the localization of the SIH did not significantly influence the mortality rate (P = 0.29). Age did not influence the mortality rate (AUC = 0.50, P = 0.971). Patients between the ages of 17 to 55 years had significantly less HBP (60.7%) than patients between ages of 56 to 65 years (75%) (P < 0.001), in contrast the patients between the age <46 years has significantly most vascular malformation than those >45 years old (11.1 vs 6.4 %, P <0.001). Prevention or early detection of risk factors such as HBP for SIH must be implemented in young adults.