The total serum cholesterol level (TC) in a patient with ischemic cerebral vascular stroke raises suspicions about hemorrhagic transformation. The purpose of this study is to demonstrate if the total cholesterol and LDL cholesterol levels are a predictive risk factor for hemorrhagic transformation in an elderly patient with an acute ischemic cerebral vascular stroke. Material and Method: This study is retrospective and analytical based on a year-long observation period of a number of 1,255

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... mic cerebral vascular strokes, 50 of which suffered hemorrhagic transformation. All the patients underwent a CT scan within 24 hours of first symptoms and were followed-up with another CT scan. Conclusions: The decreased level of LDL cholesterol is probably associated with an increased risk of hemorrhagic transformation after an acute ischemic infarction. The decreased levels of lipoproteins with small cholesterol levels, with or without the use of statins as well as smoking and the severity of cerebral vascular strokes are associated with an increased risk of symptomatic hemorrhagic transformation.