Intracranial Hemorrhage

Question 1

large vessel or small vessel ischemic stroke

Answer 1

Large vessel: deficits in multiple symptoms. Requires large mechanism.

Small vessel: isolated motor or sensory deficit on one side of the body. Produce lacunar infarctions.

Mixed ischemia can occur (hypo perfusion)

Question 2

deficits in multiple symptoms. Requires large mechanism.

Answer 2

Large vessel

Question 3

isolated motor or sensory deficit on one side of the body. Produce lacunar infarctions.

Answer 3

Small vessel

Question 4

Subdural Hem.

Answer 4

B/t dura and arachnoid
Ruptured bridging veins (slow bleed)- Concave (banana)

Elderly, etoh, trauma, shaken baby

Midline shift

Question 5

Epidural Hem.

Answer 5

Occurs b/t the skull and dura- Convex (lemon shaped)

Rupture Middle Meningeal Artery (2o to fx)

CN III Palsy

Question 6

Subarachnoid Hem.

Answer 6

Underneath the arachnoid layer

Rupture of aneurysm (berry)

WHOML

Bloody/yellow spinal tap

Question 7

Intraparenchymal Hem.

Answer 7

Often caused by HTN

Occurs in basal ganglia

Common location: thalamus, basal ganglia, pons, cerebellum, cerebral lobes
NO treatment, fairly high mortality
s/s: decreced loc, vomiting, headache

Question 8

Arteriovenous Malformation

Answer 8

abnormal connection between arteries and veins, bypassing the capillary system. This vascular anomaly is widely known because of its occurrence in the central nervous system, but can appear in any location. Although many AVMs are asymptomatic, they can cause intense pain or bleeding or lead to other serious medical problems.