CEREBRAL VASCULATURE tutorial

Question 1

two type of strokes

Answer 1

hemorrhagic stroke and ischemic stroke

Question 2

what type fo stroke is it likely to be if someone has fallen off bike, hit left side of head theyr eknocked out for a bit but fine and after five days they have right limb weakness

Answer 2

haemmorhagic stroke particularly from subdural haemmorhage bc of delayed sympotms

Question 3

is subdiral haemorrhage venous or arterial

Answer 3

venus

Question 4

what might cause a severe headache in the case of a subdural haemorrhage?

Answer 4

gradual buildup of intracranial pressure

Question 5

what may be causing drowsiness and speech problems in subdural haemorrhage?

Answer 5

reticular acitvating system (RAS) being compressed

Question 7

in brain CT where is right and left

Answer 7

patients r/l is opposite to image bc we look at patient form feet to head like in anatomy

Question 8

where in brain is there haematoma if motor sympotms on right

Answer 8

in left side motor system

Question 9

what does a subdural haematoma look like in head CT

Answer 9

black blob in outer end

Question 10

look at ct from insendi if u dont get it what may happen to ventricle on the side of the brian where theres a bleed

Answer 10

ventricle may become smaller bc its compressed by the bleed

Question 11

what is the way to approach a head ct

Answer 11

look at symmetry - start by looking at mid line, is it straight?

Question 12

how would an ACUTE bleed look on CT

Answer 12

a WHITE blob- look at ct its the white thing in middle

Question 13

which part of brain do the symptoms of: drowsy, slurred speech, wobbly eye movements and loss of reflexes, ataxia ( eg clumbsy hands ) point to?

Answer 13

cerebellum

Question 14

what type of brain bleed is it if its in the cerebellum?

Answer 14

intraparenchymal meaning in substance of brain and specifically intracerebellar

Question 15

what other things other than the sympoms can point at an intracerebellar bleed

Answer 15

rapid onset, lack of history of head injury, patient history

Question 16

what is the treatment for this spontaneous intracerebellar bleed?

Answer 16

manage the hypertension. So this doesn’t happen again.

Sometimes the surgeons might go in and try to remove blood.
(very unlikely in this particular case because it really is at the core of the cerebellum, just above the brain stem.= not very easy to approach for the neurosurgeons without causing more damage.)

Question 17

this lady with the acute bleed had forgotten to take her antihypertensive meds. thats common. why? what does this mean for docs?

Answer 17

bc they dont associate the med with a specific sympotm- low motivation and actually may have side effects- even less motivation, docs need to make sure patients are taking them, let them know risks ect.