Intracerebral hemorrhage physical examination

Jump to navigation Jump to search

Intracerebral hemorrhage Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Stroke from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

Emergency Diagnosis and Assessment

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

CT

MRI

Other Imaging Findings

Treatment

Early Assessment

Management

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

AHA/ASA Guidelines for the Management of Spontaneous Intracerebral Hemorrhage (2015)

Management of ICH

AHA/ASA Guideline Recommendation for the Primary Prevention of Stroke (2014)

Primary Prevention of Stroke

Case Studies

Case #1

Intracerebral hemorrhage physical examination On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Intracerebral hemorrhage physical examination

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Intracerebral hemorrhage physical examination

CDC on Intracerebral hemorrhage physical examination

Intracerebral hemorrhage physical examination in the news

Blogs on Intracerebral hemorrhage physical examination

Directions to Hospitals Treating Stroke

Risk calculators and risk factors for Intracerebral hemorrhage physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [2]

Overview

Physical examination of patients with Intracerebral hemorrhage usually varies based on the location of the bleeding.[1] Physical examination of patients with intracerebral hemorrhage should include vital signs check and assessment of level of consciousness (GCS) and the severity of the neurological defect (NIHSS).[2][3]

Physical examination

Physical examination of patients with intracerebral hemorrhage should include:[2][3]

Physical examination of patients with Intracerebral hemorrhage usually varies based on the location of the bleeding.[1]

Locations Physical examination
Putamenal hemorrhage
Thalamic hemorrhage General signs:
Behavioural patterns based on the four main arterial thalamic territories:
Pontine hemorrhage
Cerebellar hemorrhage
Lobar hemorrhage The signs vary depending on the location of the hemorrhage:
  • Acute neurological deterioration
  • Decreased GCS
  • Seizure
  • Contralateral homonymous hemianopsia (occipital hemorrhage)
  • Contralateral plegia/paresis of the leg with relative sparing of the arm (frontal hemorrhage)

References

  1. 1.0 1.1 Fisher CM (1971). "Pathological observations in hypertensive cerebral hemorrhage". J Neuropathol Exp Neurol. 30 (3): 536–50. PMID 4105427.
  2. 2.0 2.1 Bos MJ, Koudstaal PJ, Hofman A, Breteler MM (2007). "Decreased glomerular filtration rate is a risk factor for hemorrhagic but not for ischemic stroke: the Rotterdam Study". Stroke. 38 (12): 3127–32. doi:10.1161/STROKEAHA.107.489807. PMID 17962600.
  3. 3.0 3.1 Hackam DG, Mrkobrada M (2012). "Selective serotonin reuptake inhibitors and brain hemorrhage: a meta-analysis". Neurology. 79 (18): 1862–5. doi:10.1212/WNL.0b013e318271f848. PMID 23077009. Review in: Evid Based Ment Health. 2013 May;16(2):54


Template:WS Template:WH