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STROKE-HYPERTENSIVE ICH

Neurology

STROKE-HYPERTENSIVE ICH

1. Linked to chronic HTN (>1/3 occur in normotensives).

2. Preceded by formation of “false” microaneurysms (of Charcot and Bouchard): arterial wall dilations secondary to HTN.

3. Frequently extends to ventricular subarachnoid space.

4. Symptoms: headache, nausea, vomiting, seizures, nuchal rigidity (in SAH), coma (pontine haemorrhage).

5. Locations: putamen, thalamus, pons, cerebellum, cerebrum.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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