Intracranial Hemorrhage

Question 1

Most common bleeding sites due to hypertensive ICH are…?

Answer 1

Basal ganglia (putamen especially), thalamus, cerebellum and pons.`

Question 2

Some clinical manifestations of ICH ?

Answer 2

Diminishing levels of consciousness and signs of increased ICP such as headache and vomiting. Damage to the internal capsule can cause contralateral hemiparesis

Question 3

How many patients with hypertensive ICH die ?

Answer 3

Approximately 40%

Question 4

Large AVMs of the anterior circulation may be associated with ?

Answer 4

A systolic and diastolic bruit (sometimes self-audible over the eye, forehead, or neck and a bouncing carotid pulse