Epidemiology

SICH affects nearly 40,000 Americans annually and is more common among people of Asian and African American descent. SICH in most populations carries a mortality rate of between 20 and 50% in the first month. Morbidity is also high, and only 10-20% live independently following the insult. Chronic hypertension and age are major risk factors. Hypertension is related to the majority of hemorrhages within the deep supratentorial gray matter, cerebellum, and brain stem. Patients presenting with deep-seated SICH tend to be males in their fifth and sixth decades. Younger populations and the elderly more commonly present with lobar hemorrhages.

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