intracranial haemorrhage

Question 1

features of SAH

Answer 1

sudden onset headache, 
vomiting, 
neck pain, 
collapse, 
photophobia

Question 2

what is usually underlying a SAH

Answer 2

berry aneurysm

Question 3

when should you perform a LP in suspected SAH?

Answer 3

after 12 hours cause this is when xanthochromia would be seen

Question 4

imaging for SAH

Answer 4

CT

Question 5

re bleeding is a fatal complication of SAH. what is the mainstay of tx for this?

Answer 5

endovascular techniques

Question 6

other complications of SAH?

Answer 6

hydrocephalus
hyponatraemia
seizures
delayed ischaemia

Question 7

do you fluid restrict if there is hyponatraemia in SAH?

Answer 7

NO, give extra sodium

Question 8

drug given to prevent delayed ischaemia following SAH?

Answer 8

NIMODIPINE for 3 weeks

and high fluid intake

Question 9

what can cause steal syndrome?

Answer 9

AVMs

Question 10

what is intracerebral haemorrhage

presentation?

Answer 10

bleed into brain parenchyma

headache, focal neuro deficit, decreased conscious level

Question 11

what are most intracerebral haemorrhages secondary to?

Answer 11

HTN

Question 12

Tectorial herniation of medial temporal lobe - what nerve can it compress?

Answer 12

ipsilateral CN III&raquo_space; pupil dilatation and impaired ocular movements on that side

Question 13

subfalcine herniation of cingulate gyrus - often assoc with compression of ? leading to ?

Answer 13

compression of anterior cerebral artery

this leads to weakness +/- sensory loss in the leg

Question 14

who are brain abscesses most commonly seen in?

Answer 14

IVDU