Term
What are the 4 kinds of brain bleeds? |
|
Definition
Subdural Subarachnoid Epidural Intracerebral |
|
|
Term
What are the two kinds of head injury |
|
Definition
Open head and closed head injury |
|
|
Term
What is a open head injury? |
|
Definition
Breach of the skull like a gunshot wound |
|
|
Term
Describe a close head injury |
|
Definition
It's a brain injury due to accleration/decelaeration of the head at velocity > 25 mph, the skull is not breached |
|
|
Term
Name the 4 types of brain injuries |
|
Definition
1. Contusion 2. Laceration 3. Diffuse axonal injury 4. Concussion |
|
|
Term
|
Definition
Brusing of the brain due to impact on a hard surface of the dura and skull |
|
|
Term
What would you call a direct wounding of the brain |
|
Definition
|
|
Term
How would you get a diffuse axonal injury? |
|
Definition
Acceleration/deceleration or rotational torque causes shearing of the axons |
|
|
Term
If you have brain injury w/out the anatomical correlates that would be |
|
Definition
|
|
Term
A closed head injury can cause a number of clinical symptoms name some |
|
Definition
1. Coma 2. Sensory and motor deficits 3. Epilespy 4. Headache 5. Sleep disturbances |
|
|
Term
A subdural bleed is due to which venous? Where is the bleed at? |
|
Definition
Bridging veins, the bleeds is in the subdural space |
|
|
Term
What's the most common cause of a subdural bleed? What age group is it most common in |
|
Definition
|
|
Term
How does a acute subdural bleed look like in a CT Scan |
|
Definition
|
|
Term
A subarachnoid bleed is due to which vessel? It occurs between which structures? |
|
Definition
Middle Cerebral Artery (can be due to berry anuerysm) Dura mater and the brain |
|
|
Term
The most common cause of subarachnoid hemorrhage is ______. What are the other causes |
|
Definition
trauma Aneurysms and other malformations |
|
|
Term
|
Definition
an arterial bleed from the meningeal arteries, that bleeds on to the top of the brain |
|
|
Term
The cause of a epidural bleed is due to trauma to what area? In what group is it more common in? |
|
Definition
Parietal bone causing the middle meningeal artery to bleed. Young people |
|
|
Term
If you got a lens shaped bleed on a CT Scan what kind is it? |
|
Definition
|
|
Term
Where is the bleed in a intra cerebral bleed? |
|
Definition
|
|
Term
What are the causes of a intra cerebral bleed? |
|
Definition
HTN, AVM, tumors, occasional trauma and brain contusion |
|
|
Term
What age group are intra cerebral bleeds more common in |
|
Definition
|
|
Term
A subdural bleed can lead to ischema in that region of the brain causing _____ |
|
Definition
|
|
Term
How would you treat a subdural bleed? |
|
Definition
If it's small leave it alone |
|
|
Term
What would you treat a subarchnoid bleed? |
|
Definition
if it's small do nothing, if it's large there's nothing you can do |
|
|
Term
What's primary brain damage? |
|
Definition
it occurs at the moment of impact/trauma, it occurs mostly in the temporal and frontal lobes |
|
|
Term
when does secondary brain damage occur |
|
Definition
Later after primary brain damage and may be preventable |
|
|
Term
If you get edema in secondary brain damage, what events follow? |
|
Definition
increase intracranial pressure leading to decrease brain perfusion and hypoxia/ischema causing hypotension, infection, seizures |
|
|
Term
Increased ICP interfers w/ CSF flow leading to |
|
Definition
more increase in pressure |
|
|
Term
Tertiary insults occur in the lesion ______ because of _____ |
|
Definition
penumbra apoptosis, the damged cells commit suicide |
|
|
Term
Traumatic brain injury leads to |
|
Definition
coma, morbidity related to size and location of damaged area, epilepsy |
|
|
Term
What's the most common form of closed head injury |
|
Definition
|
|
Term
What are the symptoms of Post concussion syndrome |
|
Definition
1. Head is most common 2. Loss of memory 3. Loss of concentration 4. Depression 5. Change of personality |
|
|
Term
The effects of concussions are _______ |
|
Definition
|
|