Interdisciplinary Neurosurgery (Sep 2023)

Spontaneous intraparenchymal hemorrhage in young adults: Cross-sectional study

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

Journal volume & issue
Vol. 33
p. 101762

Abstract

Read online

Background: 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). Objectives: We aim to present the epidemiological, clinical, and etiology profile of young adults with SIH, and their intra-hospital short-term outcomes. Methods: 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. Results: 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 45 years old (11.1 vs 6.4 %, P <0.001). Conclusion: Prevention or early detection of risk factors such as HBP for SIH must be implemented in young adults.

Keywords