INTRACEREBRAL HAEMORRHAGE Flashcards
1
Q
What is IC haemorrhage
A
Sudden bleeding caused by a ruptured brain vessel leading to infarction
2
Q
What are the risk factors for IC haemorrhage
A
HTN Anticoagulation Thrombolysis Alcohol Smoking Diabetes
3
Q
What can cause IC haemorrhage
A
HTN 2nd to Ischaemic stroke Trauma Tumour Vasculitis Carotid artery dissection Cerebral amyloid angiopathy
4
Q
What 4 ways can intracranial pressure increase
A
Increased pressure on skull, brain and vessels = necrosis
CSF obstruction = Hydrocephalus
Midline shift = Tentorial Herniation
Coning = Brainstem compression
5
Q
What are the symptoms of IC Haemorrhage
A
Same as Ischaemic stroke
-CT is crucial
6
Q
How would you manage an IC Haemorrhage
A
Stop Anticoagulants
Control BP with IV drugs
Reduce ICP with mechanical ventilation/IV Mannitol
7
Q
When would you refer a patient to neurologist
A
Hydrocephalus
Coma
Brainstem compression
