Occipital intracerebral hemorrhage—clinical characteristics, outcome, and post‐ICH epilepsy

Abstract

The incidence of intracerebral hemorrhage (ICH) is approximately 25/100 000/y, 1 contributing to a cumulative lifetime risk of 8.2%. 2 Although the acute and 1-year mortality of ICH reaches 40% and 50%, respectively, 1,3 lobar location of bleeding seems to accompany a better prognosis. 4 Other factors associated with outcome include hematoma volume, severity, age, infratentorial origin, presence of intraventricular hemorrhage (IVH), and etiology. 5-8 In ischemic stroke, the location of the lesion impacts the severity, 9 outcome, 9 and risk of post-stroke epilepsy. 10 However, similar topological data on hemorrhage are scarce. In one study, isolated occipital hemorrhages were rare (4.6% of lobar ICH) and had better outcome than other lobar hemorrhages, 11 whereas another study did not find any occipital areas associating with lower acute mortality. 12 This retrospective observational registry-based study identifies occipital hemorrhages among consecutive spontaneous ICH patients treated in a single center. Our goal was to investigate the effect of

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“…An epileptic seizure can occur during the onset of the ICH. However, it does not determine vascular epilepsy which is rather determined after 14 days of progression [21]. While certain topographies proved surgery in the ICH, patients whose CT appearance met the criteria for surgery were transferred upon admission to neurosurgery.…”