Intracerebral hemorrhage history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
It is critical to obtain a detailed and focused history in patient with intracerebral hemorrhage. History of gradual onset of symptoms, [[Vomiting]], [[hypertension]], [[lipid disorders]], smoking, [[Antiplatelet drug|antiplatlete]]/[[Anticoagulant therapy|anticoagulation medication]], or illicit drug use, [[dementia]], [[Liver Diseases|liver]], and [[chronic kidney disease]] may suggest intracerebral hemorrhage as one of the initial differential diagnosis..<ref name="Huhtakangas" /><ref name="Rådberg" /><ref name="Flaherty" /><ref name="pmid12843354" /><ref name="pmid11346811" /><ref name="pmid4105427" /> | |||
==History== | ==History== | ||
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==Symptoms== | ==Symptoms== | ||
Non specific symptoms of intracerebral hemorrhage may include | Non specific symptoms of intracerebral hemorrhage may include:<ref name="pmid11346811">{{cite journal| author=Qureshi AI, Tuhrim S, Broderick JP, Batjer HH, Hondo H, Hanley DF| title=Spontaneous intracerebral hemorrhage. | journal=N Engl J Med | year= 2001 | volume= 344 | issue= 19 | pages= 1450-60 | pmid=11346811 | doi=10.1056/NEJM200105103441907 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11346811 }} </ref><ref name="pmid4105427">{{cite journal| author=Fisher CM| title=Pathological observations in hypertensive cerebral hemorrhage. | journal=J Neuropathol Exp Neurol | year= 1971 | volume= 30 | issue= 3 | pages= 536-50 | pmid=4105427 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=4105427 }} </ref> | ||
*Gradual onset of symptoms (unlike SAH the symptoms are not maximal at onset) | *Gradual onset of symptoms (unlike SAH the symptoms are not maximal at onset) | ||
*[[Vomiting]] | *[[Vomiting]] |
Latest revision as of 01:30, 4 December 2016
Intracerebral hemorrhage Microchapters |
Diagnosis |
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Treatment |
AHA/ASA Guidelines for the Management of Spontaneous Intracerebral Hemorrhage (2015) |
AHA/ASA Guideline Recommendation for the Primary Prevention of Stroke (2014) |
Case Studies |
Intracerebral hemorrhage history and symptoms On the Web |
American Roentgen Ray Society Images of Intracerebral hemorrhage history and symptoms |
Risk calculators and risk factors for Intracerebral hemorrhage history and symptoms |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [2]
Overview
It is critical to obtain a detailed and focused history in patient with intracerebral hemorrhage. History of gradual onset of symptoms, Vomiting, hypertension, lipid disorders, smoking, antiplatlete/anticoagulation medication, or illicit drug use, dementia, liver, and chronic kidney disease may suggest intracerebral hemorrhage as one of the initial differential diagnosis..[1][2][3][4][5][6]
History
It is critical to obtain a detailed and focused history.[1][2][3][4][7][8]
History | Comments |
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Timing of the symptoms onset |
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Initial symptoms |
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Vascular risk factors |
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Medications |
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Recent trauma or surgery |
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Dementia |
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Alcohol or illicit drug use |
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Liver disease |
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Chronic kidney disease |
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Cancer and hematologic disorders |
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Symptoms
Non specific symptoms of intracerebral hemorrhage may include:[5][6]
- Gradual onset of symptoms (unlike SAH the symptoms are not maximal at onset)
- Vomiting
- Systolic blood pressure >220 mm Hg
- Severe headache
- Decreased level of consciousness
References
- ↑ 1.0 1.1 Huhtakangas J, Tetri S, Juvela S, Saloheimo P, Bode MK, Hillbom M. Effect of increased warfarin use on warfarin-related cerebral hemor- rhage: a longitudinal population-based study. Stroke. 2011;42:2431– 2435. doi: 10.1161/STROKEAHA.111.615260.
- ↑ 2.0 2.1 Rådberg JA, Olsson JE, Rådberg CT. Prognostic parameters in sponta- neous intracerebral hematomas with special reference to anticoagulant treatment. Stroke. 1991;22:571–576. doi: 10.1161/01.STR.22.5.571.
- ↑ 3.0 3.1 Flaherty ML, Kissela B, Woo D, Kleindorfer D, Alwell K, Sekar P, Moomaw CJ, Haverbusch M, Broderick JP. The increasing incidence of anticoagulant-associated intracerebral hemorrhage. Neurology. 2007;68:116–121. doi: 10.1212/01.wnl.0000250340.05202.8b.
- ↑ 4.0 4.1 Ariesen MJ, Claus SP, Rinkel GJ, Algra A (2003). "Risk factors for intracerebral hemorrhage in the general population: a systematic review". Stroke. 34 (8): 2060–5. doi:10.1161/01.STR.0000080678.09344.8D. PMID 12843354.
- ↑ 5.0 5.1 Qureshi AI, Tuhrim S, Broderick JP, Batjer HH, Hondo H, Hanley DF (2001). "Spontaneous intracerebral hemorrhage". N Engl J Med. 344 (19): 1450–60. doi:10.1056/NEJM200105103441907. PMID 11346811.
- ↑ 6.0 6.1 Fisher CM (1971). "Pathological observations in hypertensive cerebral hemorrhage". J Neuropathol Exp Neurol. 30 (3): 536–50. PMID 4105427.
- ↑ 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.
- ↑ 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