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Year : 2021  |  Volume : 15  |  Issue : 1  |  Page : 56-58

Simultaneous occurrence of cerebral bleed and infarct

1 Department of Medicine, University College of Medical Sciences and GTB Hospital, New Delhi, India
2 Department of Neurology, GB Pant Hospital, New Delhi, India
3 Department of Internal Medicine and Critical Care, Max Multispeciality Hospital Noida and Patparganj, India

Correspondence Address:
Dr. Luv Bansal
Department of Neurology, GB Pant Hospital, New Delhi
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/upjimi.upjimi_1_21

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BACKGROUND: Simultaneous occurrence of ischemic and hemorrhagic stroke is extremely rare although the pathology of both types of strokes is similar. However, this poses challenges in management of such cases. CASE DETAIL: An 80-year-old Indian housewife presented to the hospital in altered sensorium with no significant comorbidity in the past. On neurological imaging, she was found to have both intracerebral infarct and bleed. She was managed conservatively. CONCLUSION: There are challenges in management of these types of patients as treatment is different in both scenarios. This case raised the question regarding the routine management of such cases. In the absence of published guidelines, individual tailoring of treatment is needed.

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