Iph: ganglionic iph: lobar



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Classification of Intracerebral Hemorrhage

Features: Sudden onset of headache, focal deficits, and signs of increasing ICP






IPH: ganglionic

IPH: lobar

Subarachnoid

SITE

Basal ganglia, thalamus, pons, deep cerebellum

Cerebral lobes

Base of brain, convexities

USUAL CAUSE

Hypertensive vascular disease

Various (malformation, coagulopathy, etc)

Berry aneurysm, AVM

OUTCOME

Often lethal

variable

Often lethal, acute vasospasm, chronic hydrocephalis

Parenchymal Brain Injury presentations:



TYPE

CLINICAL FEATURES

CHARACTERISTICS

Concussion

Transient loc.

Mild DAD?

Contusion

LOC +/- deficits

Intact Pia-Arachnoid, frontal/temporal poles, lateral temporal

Laceration

LOC + deficits

Torn Pia-Arachnoid

Diffuse Axonal Damage

Prolonged LOC

Tearing of axons in CC, long tracts

Traumatic Vascular Injury



KIND

SOURCE

CLINICAL FEATURES

CAUSES

Epidural hematoma

Dural arteries

LOC, then silent interval

Skull fracture

Subdural hematoma

Bridging veins

Acute, subacute, chronic

Trauma can be mild; brain atrophy, coagulopathy

Subarachnoid/ intraparenchymal hematoma

Parenchymal laceration

Variable

Variable, usually severe trauma

Diffuse vascular injury

Shearing of axons and vessels

Similar to DAD

Similar to DAD


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