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Cold-Related Intracerebral Hemorrhage

Cold-Related Intracerebral Hemorrhage Abstract A mbient temperature is usually not considered important in the origin of stroke. During a severe winter freeze, we studied three patients with intracerebral hemorrhage (ICH) whose cases stimulated us to examine a possible relationship between cold exposure and ICH. REPORT OF CASES Case 1. —A 35-year-old alcoholic man was "shaky" from alcohol withdrawal and so ventured outdoors (temperature, —34 °C) to purchase whiskey. On his way home, a left hemiplegia developed. A computed tomographic (CT) scan demonstrated a moderate-sized right putaminal hemorrhage. His BP was 130/106 mm Hg on admission but fell to 120/70 mm Hg the next day and averaged 120/80 mm Hg during the remainder of his hospitalization without treatment. He had no known prior hypertension. Case 2. —A right putaminothalamic hemorrhage developed in a 70-year-old man with slight prior hypertension after he manually wiped snow from his windshield for 15 minutes. His BP, initially 170/110 mm Hg, declined to 130/80 mm Hg after hydrochlorothiazide was prescribed. References 1. Hines F, Brown G: A standard test for measuring the variability of blood pressure: Its significance as an index of the prehypertensive state . Ann Intern Med 1933;7:209-217.Crossref 2. Harlan W, Osborne R, Graybril A: Prognostic value of the cold pressor test and the basal blood pressure: Based on an 18-year follow-up study . Am J Cardiol 1964;13:683-687.Crossref 3. Harlan W, Oberman A, Mitchell R, et al: A 30 year study of blood pressure in a white male cohort ; in Oresti G, Kim K, Moyer J (eds): Hypertension: Mechanisms and Management . New York, Grune & Stratton Ine, 1973, pp 85-91. 4. Caplan L, Hier D, Banks G: S trokes and drug abuse . Stroke 1982;13:869-872.Crossref 5. Ramirez-Lassepas M, Haus E, Lakarua D, et al: Seasonal (circannual) periodicity of spontaneous intracerebral hemorrhage in Minnesota . Ann Neurol 1980;8:539-541.Crossref 6. Haberman S, Capildeo R, Rose F: The seasonal variation in mortality from cerebrovascular disease . J Neurol Sci 1981;52:25-36.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

Cold-Related Intracerebral Hemorrhage

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Cold-Related Intracerebral Hemorrhage

Abstract

Abstract A mbient temperature is usually not considered important in the origin of stroke. During a severe winter freeze, we studied three patients with intracerebral hemorrhage (ICH) whose cases stimulated us to examine a possible relationship between cold exposure and ICH. REPORT OF CASES Case 1. —A 35-year-old alcoholic man was "shaky" from alcohol withdrawal and so ventured outdoors (temperature, —34 °C) to purchase whiskey. On his way home, a left hemiplegia...
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References (7)

Publisher
American Medical Association
Copyright
Copyright © 1984 American Medical Association. All Rights Reserved.
ISSN
0003-9942
eISSN
1538-3687
DOI
10.1001/archneur.1984.04050140129043
Publisher site
See Article on Publisher Site

Abstract

Abstract A mbient temperature is usually not considered important in the origin of stroke. During a severe winter freeze, we studied three patients with intracerebral hemorrhage (ICH) whose cases stimulated us to examine a possible relationship between cold exposure and ICH. REPORT OF CASES Case 1. —A 35-year-old alcoholic man was "shaky" from alcohol withdrawal and so ventured outdoors (temperature, —34 °C) to purchase whiskey. On his way home, a left hemiplegia developed. A computed tomographic (CT) scan demonstrated a moderate-sized right putaminal hemorrhage. His BP was 130/106 mm Hg on admission but fell to 120/70 mm Hg the next day and averaged 120/80 mm Hg during the remainder of his hospitalization without treatment. He had no known prior hypertension. Case 2. —A right putaminothalamic hemorrhage developed in a 70-year-old man with slight prior hypertension after he manually wiped snow from his windshield for 15 minutes. His BP, initially 170/110 mm Hg, declined to 130/80 mm Hg after hydrochlorothiazide was prescribed. References 1. Hines F, Brown G: A standard test for measuring the variability of blood pressure: Its significance as an index of the prehypertensive state . Ann Intern Med 1933;7:209-217.Crossref 2. Harlan W, Osborne R, Graybril A: Prognostic value of the cold pressor test and the basal blood pressure: Based on an 18-year follow-up study . Am J Cardiol 1964;13:683-687.Crossref 3. Harlan W, Oberman A, Mitchell R, et al: A 30 year study of blood pressure in a white male cohort ; in Oresti G, Kim K, Moyer J (eds): Hypertension: Mechanisms and Management . New York, Grune & Stratton Ine, 1973, pp 85-91. 4. Caplan L, Hier D, Banks G: S trokes and drug abuse . Stroke 1982;13:869-872.Crossref 5. Ramirez-Lassepas M, Haus E, Lakarua D, et al: Seasonal (circannual) periodicity of spontaneous intracerebral hemorrhage in Minnesota . Ann Neurol 1980;8:539-541.Crossref 6. Haberman S, Capildeo R, Rose F: The seasonal variation in mortality from cerebrovascular disease . J Neurol Sci 1981;52:25-36.Crossref

Journal

Archives of Neurology – American Medical Association

Published: Feb 1, 1984

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