Cerebrovascular Disorders Tutorial

Question 1

If there is a delayed or slow presentation what would you think?

Answer 1

subdural haemorrhage, venous

Question 2

What could the persistent headache be due to?

Answer 2

gradual build up of inter cranial pressure as bleeding continued, which ultimately starts putting pressure on the brain stem, so drowsy (reticular activating system compressed in brain stem)

Question 3

If motor symptoms are on the right side what part of brain is affected?

Answer 3

left motor cortex affected and can see large subdural haematoma (deep blood accumulated in subdural space)

Question 4

What would the treatment be?

Answer 4

referral to neurosurgeons, drill burr holls, skull flap and remove blood