Short-term Coexisting Intracerebral Hemorrhage and Cerebral Infarctions.

Song, Kwan Su; Moon, Jae Gon; Lee, Ho Kook; Kim, Chang Hyun; Hwang, Do Yun

Original Article

Journal of Korean Neurosurgical Society 2005;38(6): 419-424.

Kwan Su Song, Jae Gon Moon, Ho Kook Lee, Chang Hyun Kim, Do Yun Hwang

Department of Neurosurgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.

ABSTRACT

OBJECTIVE
Short-term coexisting intracerebral hemorrhage and cerebral infarctions defined as the recurrent stroke presented with different type within three weeks. Despite the high recurrence rate of stroke, little attention and insufficient clinical data had been given to short-term coexisting intracerebral hemorrhage and cerebral infarction's features. This study aims to estimate the risk factors and present the clinical features of short-term coexisting intracerebral hemorrhage and cerebral infarctions. METHODS: We investigated 18 patients with short-term coexisting intracerebral hemorrhage and cerebral infarctions who were admitted to our hospital between January 1995 and January 2005. They were subdivided by the recurrence interval such as a group of within one week and another of between one and three weeks as hyperacute and acute respectively. RESULTS: The mean interval between strokes was 6.64 days. Lesional analysis showed that short-term coexisting intracerebral hemorrhage and cerebral infarctions in this study occurred at the other side in 12 cases (66.7%). The abnormality on the electrocardiographic feature (23.5%) and long-term history of hypertension (20.5%) were the most common risk factors. However, short-term history of diabetes was more common in hyperacute group than in acute group (P<0.05). The mean number of risk factors was three in acute group. It is larger than that of hyperacute group (P<0.05). CONCLUSION: If the patients who experienced cerebrovascular attack have many risk factors, they tend to be the cases of acute coexisting intracerebral hemorrhage and cerebral infarctions than hyperacute. Therefore, that cases are required to be vigilant to the change of patients' state up to three weeks in the treatment.

Key Words: Intracerebral hemorrhage; Cerebral infarction; Recurrent stroke