Vascular Events

Question 1

Berry Aneurysms most commonly seen where

Answer 1

branching of ACA

Question 2

Rupture of berry aneurysm causes

Answer 2

Subarachnoid hemorrhage….pt complains of worst headache ever

Question 3

What is xanthochromic spinal tap?

Answer 3

Means that the blood has been there a while and has been turned into bilirubin

Question 4

What is there a risk of 2-3 days after the aneurysm

Answer 4

vasospam

Question 5

How do you treat the potential vasospasm from a SAH?

Answer 5

Nimodipine…..remember “dipine” means dihydropyridine Calcium Channel Blocker which prevents smooth muscle contraction in vasculature.

Question 6

DRUG AFTER SAH

Answer 6

NIMODIPINE

Question 7

Epidural hematoma

Answer 7

FAST BLEED
usually due to rupture of middle meningeal artery.
Often secondary to bone fracture.
Pts will havea lucid interval where they seem fine

Forms a lens shape as it peels the dura off the skull

Question 8

SUB-dural hematom

Answer 8

SLOW BLEED….seen in whiplash

Crescent shape due to spreading