Haemorrhagic Stroke

Question 1

are all intracranial haemorrhages strokes?

Answer 1

NO

majority of the bleeding occurs extracerebral (symptoms arise due t compression)

Question 2

what type of intracranial haemorrage is a stroke?

Answer 2

intracerebral (includes those with intraventricular extension)

only one with brain damage

Question 3

what are the causes of haemorrhagic strokes?

Answer 3

• blood - haemorrhagic diathesis, anticoagulation, strong antiplatelets
• vessel wall - hypertension, vasculitis, aneurysms, AVMs, amyloid angiopathies
• extravascular causes (not really a stroke) - brain tumour, abscess

Question 4

what is the commonest cause of haemorrhagic stroke?

Answer 4

hypertension

due to arteriosclerosis

Question 5

what is arteriosclerosis?

Answer 5

thickening of the inner wall and the central wall of the artery due to aging