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08 September 2022
Atrophic cerebral peduncle may be a hallmark for evaluating the compensatory ability of the contralateral hemisphere
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Hemorrhagic mirror stroke is a rare subtype of recurrent hemorrhagic stroke, similar to a cerebral hemorrhage in mirror position of the contralateral hemisphere. Here report two cases of hemorrhagic mirror stroke in the nondominant hemisphere of a right-handed man and a left-handed woman several years after the first similar onset in the dominant one. During rehabilitation after the first-time stroke, patients showed excellent recovery despite the development of atrophy in the cerebral peduncle on the affected side and aphasia and quadriplegia after the mirror stroke in the nondominant hemisphere. These cases not only highlight some uncommon clinical symptoms or the rare stroke type but also demonstrate the association between recovery of patients with atrophic cerebral peduncle after stroke and functional reorganization in the undamaged hemisphere.
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Atrophic cerebral peduncle may be a hallmark for evaluating the compensatory ability of the contralateral hemisphere
)
Abstract
Hemorrhagic mirror stroke is a rare subtype of recurrent hemorrhagic stroke, similar to a cerebral hemorrhage in mirror position of the contralateral hemisphere. Here report two cases of hemorrhagic mirror stroke in the nondominant hemisphere of a right-handed man and a left-handed woman several years after the first similar onset in the dominant one. During rehabilitation after the first-time stroke, patients showed excellent recovery despite the development of atrophy in the cerebral peduncle on the affected side and aphasia and quadriplegia after the mirror stroke in the nondominant hemisphere. These cases not only highlight some uncommon clinical symptoms or the rare stroke type but also demonstrate the association between recovery of patients with atrophic cerebral peduncle after stroke and functional reorganization in the undamaged hemisphere.
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Acknowledgements
The author thanks the staff of The Stroke Centre of the First Affiliated Hospital of Hebei North University to provide images and follow-up data of the patients.
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This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
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