Intracranial hemmorrhage Flashcards
Rupture of middle meningeal artery (branch of maxillary artery)
Epidural hematoma
Secondary to skull fracture of temporal bone
Epidural hematoma
CNIII palsy
transtentorial herniation
Epidural hematoma
fixed, dilated, down & out
Rupture of bridging veins (slow bleed)
Subdural hematoma
Elderly
Alcoholics
Subdural Hematoma
Crescent shaped hemorrhage
Subdural Hematoma
“worse headache of my life”
Subarachnoid hemorrhage
Xanthochromic
bloody or yellow spinal tap
Subarachnoid hemorrhage
How do you treat subarachnoid hemorrhage
Surgical clip
Nimodipine (Dihydropyridine CCB)
Most commonly caused by systemic hypertension (cocaine)
also seen w/ amyloid angiopathy (recurrent lobar hemorrhagic stroke in elderly caused by anticoagulant) vasculitis neoplasm
Intraparenchymal hemorrhage
Rupture of Saccular (berry aneurysm)
subarachnoid hemorrhage
MCC site of berry aneurysm
anterior communicating and anterior cerebral artery
