Hemorragia Intracraneal Flashcards

0
Q

Que sabes de la hemorragia subdural

A

Tipica del RNT por trauma del parto

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1
Q

Causas

A

Secundaria a traumatismo
Asfixia
Coagulopatias
Alteraciones vasculares congenitas

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2
Q

Localizacion de hemorragia subdural

A

Convexidad

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3
Q

Diagnostico de hemorragia subdural

A

Eco-Tac

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4
Q

Tratamiento para hemorragia subdural extensa

A

Puncion y evacuacion del liquido subdural a traves de la fontanela anterior.

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5
Q

Que sabes de la hemorragia intraparenqumatosa

A

Asociada a hipoxia-isquemica

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6
Q

Que sabes de la hemorragia subaracnoidea

A

Tipica del RNPT

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7
Q

Causa de hemorragia subaracnoidea

A

Primaria o secundaria a coagulopatia o por extension de hemorragias localizadas

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8
Q

Diagnostico de hemorragia subaracnoidea

A

Puncion lumbar

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9
Q

Que sabes de la hemorragia intraventricular

A

Rotura de vasos de la matriz germinal subependimaria

Aparece exclusivamente en RNPT

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10
Q

Cuando desaparece la hemorragia intraventricular

A

28 semanas

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11
Q

Factores predisponentes para hemorragia intraventricular

A
Dificultad respiratoria
Lesion hipoxico isquemica
Hipo-hipertension
Disminucion flujo sanguineo cerebral
Perdida de integridad vascular
Aumento PVC
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12
Q

Clinica de hemorragia intraventricular

A
A menor peso mayor incidenxia
Aparecen antes del 3 dia
Deterioro del estado general
Palidez
Desaparicion del reflejo de moro
Hipotonia
Somnolencia
Apneas
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13
Q

Diagnostico de hemorragia intraventricular

A

Ecografia transfontanelar
TAC
RMN

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14
Q

Grado I hemorragia intraventricular

A

Limitado a matriz germinal

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15
Q

Grado II hemorragia intraventricular

A

Del ventriculo

16
Q

Grado III hemorragia intraventricular

A

Ventriculo + dilatacion ventricular

17
Q

Grado IV hemorragia intraventricular

A

Ventriculo + dilatacion + hemorragia intraparenquimatosa

18
Q

Factores de mal pronostico para hemorragia intraventricular

A

Hidrocefalia progresiva
< 30 SDG
Ventilacion prolongada (> 28 dias)
Hemorragia intraparenquimatosa

19
Q

Medidas preventivas para hemorragia intraventricular

A

Evitar factores predisponentes
Corticoides maternos a bajas dosis
Indometacina

20
Q

Tratamiento de hemorragia intraventricular

A

Punciones lumbares repetidas pueden reducir los síntomas de la hidrocefalia posthemorragica

21
Q

Que sabes de la leucomalacia periventricular

A

Necrosis (hipoxico-isquemico) de la sustancia blanca periventricular y lesion de las fibras de la capsula interna

22
Q

Diagnostico de leucomalacia periventricular

A

Ecografia por hiperecogenecidad 3-6 dia e imagenes hipodensas quisticas al 14-20 dia