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  • Hematoma Small Artery Rupture

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    Mehrine Mehr
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    A document discusses distinguishing intracerebral hemorrhage from ischemic stroke in the acute setting, as blood may not be detectable on initial MRI scans. It notes that aneurysms of certain arteries, like the middle cerebral artery, tend to be amenable to surgical clipping, while those in other locations, like the basilar artery, are more accessible for endovascular management. Further investigations like CT scans and lumbar punctures are still warranted if a sentinel headache occurs within three weeks, as additional bleeding is possible.

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    ICH

    Original Title

    3. ICH

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    A document discusses distinguishing intracerebral hemorrhage from ischemic stroke in the acute setting, as blood may not be detectable on initial MRI scans. It notes that aneurysms of certain arteries, like the middle cerebral artery, tend to be amenable to surgical clipping, while those in other locations, like the basilar artery, are more accessible for endovascular management. Further investigations like CT scans and lumbar punctures are still warranted if a sentinel headache occurs within three weeks, as additional bleeding is possible.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    24 views7 pages

    Hematoma Small Artery Rupture

    Uploaded by

    Mehrine Mehr
    A document discusses distinguishing intracerebral hemorrhage from ischemic stroke in the acute setting, as blood may not be detectable on initial MRI scans. It notes that aneurysms of certain arteries, like the middle cerebral artery, tend to be amenable to surgical clipping, while those in other locations, like the basilar artery, are more accessible for endovascular management. Further investigations like CT scans and lumbar punctures are still warranted if a sentinel headache occurs within three weeks, as additional bleeding is possible.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 7

    hematoma ； small artery rupture

    The acute presentation of ICH can be difficult to distinguish from ischemic stroke.
    nonuniform
    A sentinel headache still warrants investigations with CT scan and lumbar punctur
    e,as further bleeding may occur in the subsequent three weeks
    the following clinical characteristics
    Blood is not easily detectable in T1-

    weighted and T2-weighted MRI sequences in the acute setting


    Aneurysms of the middle cerebral artery and its related vessels are hard to reach
    with angiography and tend to be amenable to clipping. Those of the basilar artery
    and posterior cerebral artery are hard to reach surgically and are more accessible
    for endovascular management.

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