Difference between revisions of "Intracranial hematomas"
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(→Subarachnoid hemorrhage: +fat embolism) |
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*May have a characteristic mastoid contusion. | *May have a characteristic mastoid contusion. | ||
**May be associated with vascular [[Ehlers-Danlos syndrome]]. | **May be associated with vascular [[Ehlers-Danlos syndrome]]. | ||
==White mater predominant petechial hemorrhage== | |||
*AKA ''brain purpura''. | |||
*Etiology: fat embolism syndrome secondary to trauma. | |||
Image: [http://library.med.utah.edu/WebPath/COW/COW081.html FE (med.utah.edu)]. | |||
==See also== | ==See also== | ||
Revision as of 03:59, 24 September 2010
Intracranial hematomas are bad stuff that keep neurosurgeons busy. They are usually diagnosed by imaging (CT head).
Classification
- Epidural hemorrhage (extradural hemorrhage).
- Patient may have lucid interval.[1]
- Middle meningeal artery.
- Radiology: biconvex.
- Subdural hemorrhage
- Damaged bridging veins: subdural space between the dura and arachnoid mater.
- Radiology: crescent shape.
- Subarachnoid hemorrhage.
- Classically caused by aneuryms:[2]
- Anterior communicating artery (ACA) - most common.
- Middle cerebral artery (MCA) - second most common.
- Classically caused by aneuryms:[2]
- Intracerebral hemorrhage.
- > 60 ml at presentation (assessed via CT scan) assoc. with > 90% 30 day mortality.[3]
Subarachnoid hemorrhage
- Abbreviated SAH.
Traumatic SAH
- May have a characteristic mastoid contusion.
- May be associated with vascular Ehlers-Danlos syndrome.
White mater predominant petechial hemorrhage
- AKA brain purpura.
- Etiology: fat embolism syndrome secondary to trauma.
Image: FE (med.utah.edu).
See also
References
- ↑ Erşahin Y, Mutluer S, Güzelbag E (April 1993). "Extradural hematoma: analysis of 146 cases". Childs Nerv Syst 9 (2): 96–9. PMID 8319240.
- ↑ Beck J, Rohde S, Berkefeld J, Seifert V, Raabe A (January 2006). "Size and location of ruptured and unruptured intracranial aneurysms measured by 3-dimensional rotational angiography". Surg Neurol 65 (1): 18–25; discussion 25–7. doi:10.1016/j.surneu.2005.05.019. PMID 16378842.
- ↑ URL: http://stroke.ahajournals.org/cgi/content/abstract/24/7/987. Accessed on: 2 September 2010.