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Intracranial Hemorrhages
Characteristics of the different types of intracranial hemorrhages pg. 446 2012 first aid
4
Medical
Graduate
06/20/2012

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Term
Subdural Hematoma
Definition
crescent shaped collection of blood on head CT-scan. It is caused by the rupture of bridging veins that connect to the superior sagittal sinus in blunt trauma or jarring often in shaken children and the elderly. These hematomas can cross suture lines.
Term
Epidural Hematoma
Definition
typically arise from head trauma, which involves rupture of the middle meningeal artery, often resulting from a temporal skull fracture. On head CT, their appearance is lens shaped (bi-convex). They cannot cross suture lines. Symptoms of mental status change are often preceded by a lucid interval.
Term
Subarachnoid Hemorrhage
Definition
Rupture of an aneurysm and bifurcations of arteries. A/w Marfan's, Ehlers-Danlos, ADPKD, or an AVM. Rapid time course leading to sudden, severe headache. Bloody or yellow (xanthochromic) spinal tap. Risk of vasospasm 2-3 days afterwards due to blood breakdown.
Term
Intraparenchymal Hemorrhage
Definition
Most commonly caused by systemic hypertension, but also amyloid angiopathy, vasculitis, and neoplasm. Typically occurs in basal ganglia and internal capsule, but can be lobar. Can also be caused by Charcot-Bouchard aneurysms
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