Hypertensive Cerebrovascular Disease and Intracranial Hemorrhage

Question 1

What are the types of hypertensive infarcts and Hemorrhages?

Answer 1

Lacunar infarcts: deep penetrating arteries(occlussions)

Slit hemorrhages: deep small penetrating vessels, (vascular ruptures)

Hypertensive encephalopathy: withvascular (multi-infarct) dementia Intraparenchymal hemorrhage

Question 2

What are the the types of hypertensive encephalopathy?

Answer 2

Acute: malignant hypertension, diffuse CNS dysfunction with headaches, confusion, seizures

Chronic: multiple gray and white matter infarcts withvascular (multi-infarct) dementia

Question 3

What are hypertensive lacunar infarcts caused by?

Answer 3

a single penetrating branch of a large cerebral artery

Question 4

What are most nontraumatic intercranial hemorrhage due to?

Where does most Nontraumatic intercranial hemorhages occur?

Answer 4

90% are due to hypertension

Most nontramatic intercranial hemorhages in the basal ganglia

Question 5

What is this ?

Answer 5

Nontraumatic Intercranial hypertensive hemorhage of the basal ganglia

Question 6

What is a Charcot (microaneurysm)?

Answer 6

weakening of the vascularture to the brain due to hypertension