J Korean Med Sci.  1990 Mar;5(1):19-23. 10.3346/jkms.1990.5.1.19.

Recurrent alternating stroke

• Lee KS
• Bae HG
• Yun IG

• KMID: 1421474
• DOI: http://doi.org/10.3346/jkms.1990.5.1.19

Abstract

Recurrent alternating stroke, i.e., one time ischemic and the other hemorrhagic or vice versa, is an uncommon event. We report a series of eight patients who had recurrent alternating strokes, which were diagnosed by CT scans during the last four years. Infarcts preceded hemorrhage in six patients. In the remaining two patients, hemorrhage developed first and infarct followed. All ischemic strokes were the lacunar infarcts. The lesions of the two attacks were located in different sites in all cases except one. The mean age of the patients was 56.6 years at the time of the first attack and 57.5 years at the time of the second. The mean interval between attacks was 11.8 months. All patients were hypertensive on admission. After the first attack, the outcome was favorable in all patients. However, after the second attack the outcome deteriorated to moderate disability in three, severe disability in one and death in four. We discuss some possible reasons for the rarity of recurrent alternating stroke.

Keyword

Recurrent alternation stroke; Hypertension; Lacune; Intracerabral hemorrhage; CT scan

MeSH Terms

Brain Ischemia/*complications
Cerebral Hemorrhage/*complications
Cerebrovascular Disorders/*radionuclide imaging
Female
Humans
Hypertension/complications/radionuclide imaging
Male
Middle Aged
Prognosis
Recurrence
Tomography, X-Ray Computed