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Haemorrage (Subrarachnoid (Acute symptoms (ACOCA SYNDROME (Unique pattern…
Haemorrage
Subrarachnoid
Clinical picture
between brain and skull
normal filled with spinal fluid
Increase of pressure on brain when blood is released into sub-arachnoid space
Bleeding in spaces around the brain
Epidiomeliogy
77% casued by aneursims
5-10% of strokes
slightly higher risk women
aneurysms
Types
Fusiform
giant
Saccular
Mycotic
results from an infection
genetical component 4 times incresed risk
Acute symptoms
headache/popping sensation
stiff neck
loss of vision and consciousness
seizures
diffuse injury
mild to moderate cog. imp.
ACOCA SYNDROME
ruptured aneurysms of the Anterior Communicating Artery
Unique pattern of cognitive dysfunctions
memory loss
confabulation
false memories
personality change
Intracerebral
Clinical picture
no oxygen rich blood = stroke
Close to the surface or deep in brain
Pressure on sourrinding brain tissue
Bleeding brain tissue itself
Epidemiology
More african americans and japanese
Causes
Hypertension and aging
Blood thinner therapy
aneursym
head trauma
Amyloid angiopathy
drug usage
40% risk of death
acute syndromes
wakness or numbness body parts most one side
Loss of consciousness
Lethargyor confusion
temporary loss of vision
headage, nausia vommiting
seizures
Diagnoses
subarachnoid
Hunt-Hess grading scale
grade 1 to 5
what we Always do by suspecting a stroke.hemorrage
Treatment
Medical
Control blood pressure
removing cerebrospinal fluid from ventricles
coma with drug treatment
Surgical
stop bleeding
Clipping
Coiling
remove blood clot
