Intracerebral hemorrhage physical examination

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]

Physical examination

Physical examination of patients with Intracerebral hemorrhage is usually varies based on the location of the bleeding.

Locations	Physical examination
Putamenal hemorrhage	Hemiplegia Hemisensory loss Homonymous hemianopsia Gaze palsy Stupor Coma
Thalamic hemorrhage	General signs: Downward gaze (paralysis of upward gaze) Small pupils (lack of light pupillary response) Depressed consciousness Apathy Hypersomnolence Disorientation Visual hallucinations Aphasia Impairment of verbal memory Visuospatial dysfunction
	Behavioural patterns based on the four main arterial thalamic territories: Anterior: perservations, apathy, and amnesia Paramedian infarction: disinhibition, personality change and amnesia (severe retrograde and anterograde amnesia) Extensive lesions: "thalamic dementia" Inferolateral: Executive dysfunction and occasionally severe long term disability Posterior: No specific behavioural pattern however can include cognitive dysfunction, neglect, aphasia
Pontine hemorrhage	Decreased level of consciousness (most common) Long tract signs including tetraparesis Cranial nerve palsies Seizures Cheyne-Stokes respiration
Cerebellar hemorrhage	Small bleeds Ataxia Nystagmus Larger bleeds Impair consciousness Obstructive hydrocephalus (obstruct the fourth ventricle)
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

Template:WS Template:WH