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31 Cards in this Set

  • Front
  • Back
ICH is ___th most common kind of stroke
2nd
ICH is ___th deadliest of stroke
1st
classic signs of ICH
H/A
vomiting
___ is main prognostic factor for ICH
volume of hematoma
2 recommended diagnostic studies for ICH
non-contrast CT
angiography
2 contraindications for angio for ICH
age > 45 with HTN
located in thalamus/putamen/posterior fossa
tx for ICH (2)
rFVIIa
surgery
7 RFs for ICH
age
maleness
african-american
previous CVA
EtOH
sympathomimetic drugs
liver failure
8 causes of lobar ICH
amyloid angiopathy
trauma
extension of deep hemorrhage
hemorrhagic transformation of ischemic infarct
tumor
vascular malformation
aneurysm rupture
MCC of lobar ICH
amyloid angiopathy
2 most common sites for ICH
basal ganglia
internal capsule
2 kinds of hemorrhagic transformation
diffuse/multifocal
unifocal
diffuse hemorrhagic transformation is aka ___
it is ___dense compared to primary ICH
it appears as ___ on CT
type 1
hypo
mottling inside borders of original CVA
unifocal hemorrhagic transformation is aka ___
it is ___dense compared to primary ICH
it appears as ___ on CT
type 2
iso
extensive hematoma, possibly exceeding original borders
4 kinds of ICH causes
increased MAP
increased CBF
vascular defects
coagulopathy
3 causes of increased MAP
HTN
venous thrombosis
sympathomimetic drugs
5 causes of increased CBF
carotid endarterectomy
AVM repair
heart defect repair
hemorrhagic transformation of ischemic infarct
migraine
4 kinds of vascular defects
malformations
vasculopathy
tumor
infection
3 kinds of malformation
AVM
aneurysm
venous angioma
2 kinds of aneurysm causing ICH
berry aneurysms
Charcot-Bouchard aneurysms
berry aneurysms causing ICH can be located either ___ or ___
at circle of Willis
distally (e.g. MCA)
4 kinds of vasculopathy
amyloid angiopathy
fibrinoid necrosis
lipohyalinosis
cerebral arteritis
3 infections causing ICH via arterial mechanical defect
fungi
granuloma
HSV encephalitis
suspect cerebral amyloid angiopathy (CAA) if patient presents with ___
recurrent lobar ICH
imaging for CAA
gradient echo MRI
top 3 kinds of tumors causing ICH
GBM
Ly
mets
4 mets causing ICH
melanoma
chorioca
RCC
brochogenic ca
ICH has insidious/acute presentation
insidious
most common single location for ICH
putamen
putaminal ICH presents with ___
contralateral hemiparesis
T/F: putaminal ICH often has no H/A
true